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Covid-19 Immunization Registration

Printable COVID-19 Immunization Registration
Formulario de Registro de Vacuna Covid-19 Imprimible

Updated May 11, 2023

Anyone 6 months and older can receive a COVID-19 immunization.

Adults aged 18 years and older

RAHC offers COVID-19 immunizations to adults aged 18 years and older.

Please call or send a text message to (540) 464-8700 to schedule an appointment.

Pediatrics 6 months – 17 years old

Rockbridge Area Health Center offers the Pfizer-BioNTech COVID-19 immunization for children ages six months – 17 years old.

Please call (540) 464-8700 and dial extension 7162 or 7183 to schedule an appointment for pediatric COVID-19 immunizations.

Important information for a pleasant vaccination experience:

    • There is a 15-30 minute observation period once the dose is administered.
    • Please wear clothes that allow easy access to your shoulder area.
    • Be sure to bring your Vaccination Record Card if you have received any doses of a COVID-19 vaccine.
    • Bring a photo ID.
    • Bring your health insurance card.

    Remember:

    • Side effects after getting a COVID-19 vaccine can vary from person to person.
    • Some people experience a little discomfort and can continue to go about their day. Others have side effects that affect their ability to do daily activities.
    • Side effects generally go away in a few days.
    • Even if you don’t experience any side effects, your body is building protection against the virus that causes COVID-19.

    Getting a COVID-19 vaccine after having COVID-19

    Even if you or your child have had COVID-19, you should still get yourself or your child vaccinated.

    • Getting a COVID-19 vaccine after having COVID-19 provides added protection against the virus that causes COVID-19.
    • People who already had COVID-19 and do not get vaccinated after their recovery are more likely to get COVID-19 again than those who get vaccinated after their recovery.
    • If you were given monoclonal antibodies or convalescent plasma while sick with COVID-19 you do not need to wait to get vaccinated.

    COVID-19 Vaccine Fact Sheets

    Moderna/Spikevax COVID-19 Vaccine Information Fact Sheet

    Pfizer-BioNTech/Comirnaty COVID-19 Vaccine, Bivalent Fact Sheet

    Hoja Informativa Sobre la Vacuna Bivalente de Spikevas/Moderna

    Hoja Informativa Sobre la Vacuna Bivalente de Pfizer-BioNTech Contra el COVID-19

    COVID-19 Vaccine Frequently Asked Questions

    How much is the vaccine going to cost? Am I going to get a bill?

    There is no cost to receive a COVID-19 vaccine. RAHC doesn’t bill for the vaccine but does bill for the administration of the vaccine which is covered by insurance. Patients without insurance will not be billed for the administration of the vaccine.

    Insured patients will need to provide complete coverage information—Front and Back Copy of the Insurance card(s), Member ID, Group Number, and Subscriber information.

    I lost my COVID-19 Vaccination Record Card. How can I get proof of vaccination?

    Visit the Virginia Department of Health COVID-19 Vaccination Record Request Portal where you can save or print your COVID-19 vaccination record.

    Can I get more than 1 updated COVID-19 vaccine??

    Some people can get additional doses of COVID-19 vaccine:

    • People aged 65 years and older may get a 2nd dose of updated Pfizer BioNTech or Moderna COVID-19 vaccine 4 or more months after the 1st updated COVID-19 vaccine.
    • People who are moderately or severely immunocompromised may get additional doses of updated Pfizer BioNTech or Moderna COVID-19 vaccine 2 or more months after the 1st updated COVID-19 vaccine.

    Talk to your healthcare provider about additional updated doses.