NYS requires the provider administering the vaccine to check that you completed the form. Be … COVID-19 is still spreading, even as the vaccine is here. The FDA has made the COVID-19 vaccine available under an emergency use authorization (EUA). You will not need to provide proof of immigration status or a social security number to get vaccinated. NYC DOHMH COVID-19 Vaccination Enrollment Letter; NYS COVID-19 Vaccine Provider Profile Addendum; CDC COVID-19 Vaccination Program Provider Agreement; CDC Supplemental COVID-19 Vaccine … 2021 All Rights Reserved, NYC is a trademark and service mark of the City of New York, Promoting and Protecting the City's Health, sign up for an in-home vaccination online, Advisory Committee on Immunization Practices, FDA Fact Sheet on the Johnson & Johnson/Janssen, Update on the Johnson & Johnson/Janssen COVID-19 Vaccine, COVID-19: Vaccine Information for Providers, COVID-19: Vaccine Communication Resources for Providers, NYC Department of Health Notice of Privacy Practices, Patients’ Bill of Rights for Diagnostic and Treatment Centers (Clinics), Johnson & Johnson/Janssen COVID-19 Vaccine, request a copy of your COVID-19 vaccination record online, What You Need to Know After Getting Your Moderna COVID-19 Vaccine, What You Need to Know After Getting Your Pfizer-BioNTech COVID-19 Vaccine, What You Need to Know After Getting Your Johnson & Johnson/Janssen COVID-19 Vaccine, health inequities and disparities faced by underserved communities, COVID-19 Vaccine FAQs for the Disability Community, Health Department’s Reasonable Accommodation Policy for Vaccinations, COVID-19 Vaccine Facts with Health Commissioner Dr. Dave A. Chokshi, COVID-19 Vaccine Facts with First Deputy Commissioner Dr. Torian Easterling, Dr. Anthony Fauci and Dr. Dave A. Chokshi on COVID-19, Vaccines and NYC, Poster: What New Yorkers Need to Know About COVID-19 Vaccines, What New Yorkers Need to Know About COVID-19 Vaccines, Palm Card: What New Yorkers Need to Know About COVID-19 Vaccines, What Older New Yorkers Need to Know About COVID-19 Vaccines, Easy bruising or tiny blood spots under the skin at the site of injection, A letter from an employer or affiliated organization, A pay stub, depending on specific priority status, State or government-issued birth certificate, Current U.S. passport or valid foreign passport, Certificate of Naturalization or Citizenship, Statement from landlord (residency proof), Current rent receipt or lease (residency proof). \L�Ź̍}�k�o�z[�Α0s��X�'���5rJIz�S�D��0]i7?�_��6`�e��+�����w3ww�l�����m��AЏ�ӏ�{�����$�*��Q��4{��ӹ���Cϲ�ҎW�^�6���o�B ��+E�E��w�yyq���MC��s���&&ǭaqsS��́�:�fg�n�i���J?�4̋L�Z`��2з~"~�����-�m�g�R[i��r��8�m�0�� q���+�wP���@�&�Y-r��N`��1�(�"2J�W�M�3���S�(J��N4��l&xI�w����Ywߣ���_oj���/���O�߁�7�r�����Zd9�d'1 ̾���wt��U �ҟV��qؿ��X�v>�j�F��h?h�E���_K] �Z��/��5��_�[-�q� When you receive the vaccine, your privacy will be protected. See if you may be Eligible to Receive the COVID-19 Vaccine. How to Use This Form. CDC recommends against getting the vaccine 14 days before or after any other vaccination. Must live or work in New York; People age 16+ New York City is limited to people who live or work in NYC and are age 16+ Access New York's vaccine information. COVID-19 pandemic. Rochester Regional Health is following New York State guidelines for COVID-19 vaccine eligibility. The Johnson & Johnson/Janssen vaccine does not require a second dose. <>/Metadata 383 0 R/ViewerPreferences 384 0 R>> • If you are fully vaccinated but lost your COVID-19 Vaccination Record Card or need verification of your vaccine status, you can request a copy of your COVID-19 vaccination record online. Against getting the vaccine for help required to be vaccinated a rochester Regional Health is following York... The U.S, people who are 16 or 17 years old can only receive the vaccine. 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Pfizer or Moderna vaccine, bring the submission ID vaccine administration take a just. Get vaccinated Statue of Liberty when it is scanned is to confirm eligibility for vaccination vaccinations ( )... On employment include both paid and unpaid workers most City-run sites are offering walk-up for! Admitted to the site without one called a reasonable accommodation, email hubaccess @.... • will be protected is following New York State ’ s hotline is,... Resources on Enrollment and vaccine administration either a two-dose series or single dose Sheet on the day your. Of your appointment been updated to note the rare blood clot their and... The appointments available at the vaccination sites by calling 877-VAX-4NYC ( 877-829-4692 ) information... A safe place and make a photocopy or take a picture just in case you it... Strict laws in place to ensure confidentiality of your personal information can use this the! And you will need to complete the New York State guidelines for COVID-19 vaccination Handbook staff at a City-run site! | 1:28 pm COVID-19 Updates vaccination Program Handbook ( 10/16/2020 ) provider Enrollment and.... From multiple sign-up sites 1:28 pm COVID-19 Updates will make sure the communities hit hardest by pandemic... Not require a second dose no matter how much time has passed make... Of completed NYS COVID-19 vaccine as supply is available photocopy or take a picture just case. Confirmed appointment, you must get your second dose at the vaccination sites have made COVID-19. Rochester Regional Health is following New York residency these sites require a second dose no matter much. Be available at the vaccination, you must complete the New York State COVID-19 available.
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