Bartz-Altadonna Community Health Center

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Bartz-Altadonna Community Health Center

Home
PAXLOVID
- PAXLOVID FOR PATIENTS
- PAXLOVID FOR PROVIDERS
Services
About Us
Registration Forms
Contact Us
Donate
For Patients
Community Info
Covid Vaccines
DIGITAL COVID VACC CARD
Our Video Gallery
Immunizations events regs

ALL FORMS BELOW MUST BE COMPLETED AND SUBMITTED

You will find a submit button in each form.

Registration (pdf)Download

Screening Checklist for Contraindications to Vaccines for Children and Teens (pdf)Download

Patient Eligibility Screening Record for Vaccines for Children Program (pdf)Download

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