Vaccine Clinic Forms

Thursday, April 28, 2022

The City of Bristol will be hosting a COVID-19 Vaccine Clinic on Thursday, April 28 from 12 to 4 pm at City Hall East located at 150 Main Street.

All vaccine types will be administered by Griffith Health staff for those who are 12 years or older for first vaccines, booster shots, or second booster shots for those who are eligible. No appointments are necessary. Pfizer, Moderna, and Johnson & Johnson vaccines will be offered.

Anyone who wishes to be vaccinated is encouraged to complete the appropriate vaccine form for each patient. Download the forms and fact sheet below. Patients are also asked to have their ID and Insurance with them.

READ FIRST! COVID-19 Vaccine Fact Sheet

Pediatric COVID-19 Vaccination Intake Form – English | Spanish

COVID-19 Vaccination Intake Form – English | Spanish

Pre-Vaccination Checklist – English | Spanish

For additional guidance on all COVID-19 vaccines, please visit the CDC’s website.