Covid Vaccine Consent FormWe received a limited # of Janssen (J&J Single Dose) Covid Vaccines to be given 4/7-4/9/2021. 

Please follow these steps to schedule an appointment:

Click here to schedule an appointment https://www.medentmobile.com/portal/index.php?practice_id=3BUgA5hM&main_section=online_schedule_start&locid=0


Click here to complete the NYS Covid-19 Vaccine Form New York State COVID-19 Vaccine Form (ny.gov)​ 


Print and Complete this form and bring with you to your appointment along with a photo ID and your insurance cards.