COVID-19 Vaccine Consent Forms

Please print and Complete all three of these forms and bring with you the day of your vaccination.

Call: (530) 926-4528   |   Text or Voicemail: (530) 412-5669   |   Fax: (530) 964-3141   |   PO Box 1143, McCloud, CA 96057   |    info@shastacascadehealth.org