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Please print and complete both documents, then bring them to your vaccination appointment.

  1. Covid-19 Vaccination Intake Form

  2. Pre-vaccination Checklist

Please fill this out the day of your appointment (12/10/21).

These documents can also be found at the Student Health Center in Jogues Hall if you are not able to print them out.

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Contact the ITS Help Desk in the Library Room 230 or at (203) 254-4069 for assistance.