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COVID VACCINE CLINIC RUNNING DAILY

VACCINE CONSENT FORM

Clinical trials demonstrated that the Moderna vaccine is greater than 94% effective at preventing Covid 19 illness 14 days after the second dose (NEJM). Real world data would suggest greater than 80% effectiveness at preventing Covid 19 illness 14 days after the first dose and potentially higher effectiveness against moderate to severe Covid 19 illness including death. Vaccination does not alter your personal and social responsibility to protect yourself and your community by following public health guidelines.

HOW TO PREPARE FOR YOUR VIRTUAL VISIT

1. Virtual visits will be limited to 1 issue. We are happy to book additional calls if needed to review the additional items

2. Make sure your phone will accept blocked calls as physicians will not be calling from the clinic main number

3. We try to stay on time but please understand we may call a few minutes before or after your booked time slot

4. Please make sure you will be somewhere you are able to discuss your health and symptoms, and that you will not be distracted by others

5. Prescriptions will be faxed to your preferred pharmacy, the staff will ask you to confirm at the time of your booking

6. Virtual visit prescriptions may be issued for up to 3 months but no longer - think of the virtual visit as a bridge

HOW TO PREPARE FOR YOUR IN PERSON VISIT

1. We have decreased the number of physicians seeing patients at one time in the office and have enhanced our already vigorous cleaning protocols to provide increased safety for all of our patients and staff - we ask that you do not bring any extra people to your appointment unless necessary for your care

2. ALL PATIENTS ARE EXPECTED TO WEAR A MASK WHILE IN THE CLINIC- please bring your own non-medical mask to the appointment to help protect our team and the other patients, your mask should cover BOTH your mouth and nose and you should avoid touching the mask

3. If you do not have a mask when you arrive you will have three options:

rebook your appointment
borrow a cloth mask that is laundered after single use
buy a procedure mask from our PPE supply ($1 cost recovery)

4. Please use the hand sanitizer at the entrance on arrival (we apologize for the smell of the technical grade products currently in use!)

5. IF YOU DEVELOP FEVER, COUGH, SORE THROAT, OR SHORTNESS OF BREATH AFTER BOOKING YOUR IN-PERSON APPOINTMENT WE ASK THAT YOU CONTACT US TO CANCEL YOUR APPOINTMENT AND RESCHEDULE - no charge will apply for late cancellations and we will offer you a virtual visit instead as appropriate, as well as suggesting that you get a COVID swab

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