PLEASE READ EVERYTHING ON THIS PAGE CAREFULLY AND PRINT OUT ALL FORMS BEFORE ARRIVING
Where: Saint Joan of Arc Catholic Church 359 West Areba Avenue, Hershey PA In the Social Hall across from the Church
When: Saturday, March 27, 2021 10:00 AM to 2:00 PM
Type of Vaccine: Moderna
Who is eligible? Anyone over 65 years of age or in Category 1A of Pennsylvania Covid Vaccine Rollout is eligible. Please see link below to see a full list of those eligible to receive the vaccine.
What forms do I need? Please download and fill out the forms at the bottom of the page before you arrive at your appointment.
How do I sign up? Sign up for a time by calling 717-533-7168 X133 between the hours of 8:00and Noon and 1:00 and 4:00 PM. You must have an appointment to receive the vaccine.
(Please arrive fifteen minutes before your appointment and expect to remain onsite for at least fifteen minutes after you receive your shot. A special Thank-You to Hershey Pharmacy for providing this service!)
Below are 6 forms that must be printed out and brought with you to your appointment. Please fill out the Pre-Vaccination Questionnaire, Health Insurance Form, and Consent to Immunization before arriving at your appointment.