Covid-19 Vaccination Clinic Required Documentation

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.

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