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Toll Free: (866) 388-6688
COVID-19 VACCINE FORMS
1st DOSE APPOINTMENTS: Please print, fill out, and bring both of these forms with you to your COVID-19 Vaccine Appointment.
2nd DOSE APPOINTMENTS: Please print, fill out, and bring ONLY the Consent Form below.
Currently accepting new patients - call Variety Care today!
(405) 632-6688
Variety Care clinics are FTCA deemed facilities and are a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n). HRSA Notice. Additional Funding and/or Support Provided By: The United Way of Central Oklahoma, the United Way of Norman, Community Foundations and individual donors. To donate to Variety Care Foundation, please click here. © Variety Care 2020 All Rights Reserved.