VACCINE PROGRAM

As of January 2019, we are pleased to begin offering full-spectrum vaccines at our clinic thanks to our partnership with Vaxcare who will be managing all insurance billing services.  If you would like to use your insurance to pay for your vaccines, please complete the form below.
All information is kept strictly confidential and only used to check on vaccination coverage at our clinic.  Please call if you'd rather provide this information by phone or bring your information along to your next appointment.  
See our vaccine program page for cash pricing and more details.

    TIPS:
    ​- Simply choose "self pay" if you prefer to pay cash OR if you use a health-sharing program (Liberty Healthshare, Samaritan, Medi-share, etc).
    - Each family member needs to have a completed form.
    ​- Please note that immunizations may need to be given at a separate visit if we do not have your information on file at the time of your visit.  Thanks for your understanding!

    If you are SELF PAY, you can skip the rest!