You selected YES to the the above question. If you are able to travel, we have office clinics that are available at 4181 SW High Meadows Ave, Palm City, Florida, 34990 every Monday and Tuesday.
YOU DO NOT NEED TO CONTINUE THIS FORM. Please go to https://housecallsmma.jotform.com/211054903559960 to make an appointment instead. There are limited times available per day so please select available times. Please select SUBMIT on the bottom of form to complete request for your appointment. You will receive a thank you page with your appointment time and appointment time reminder by email. Thank you.
For facilities, businesses or groups larger than 10 people: Please contact Kris Labson, RN at firstname.lastname@example.org to set up an outbound clinic event.
You selected NO to the above question. PLEASE CONTINUE TO FILL OUT THIS FORM. We will put you on a list of homebound patients that need the vaccine. We will contact you to schedule a time of when we can come to you. Please be aware of a email or phone call from our office. Thank you.