Vaccination Form

Vaccine Patient Form

Vaccination Patient Form

FOR SCHEDULED PATIENTS ONLY

If you have been scheduled for a vaccine, you can download your Patient Form here, and bring it with you to your vaccine appointment. If you have been scheduled, and if you need assistance with this form, please contact our office.

Frequently Asked Questions

FAQ SHEET

Find out more about the COVID-19 vaccine.

COVID-19 Information

The Food and Drug Administration (FDA) has issued emergency use authorization for two new vaccines to protect against COVID-19.
At Richland Family Health Center, we look forward to distributing these vaccines and protecting the communities we serve. Here is what you need to know:

Does RichlandFHC Have the COVID-19 Vaccine?

The FDA has authorized a vaccine produced by Pfizer/BioNTech and another developed by Moderna.
RichlandFHC has received our first distribution of the Moderna vaccine on Dec. 21 and are now vaccinating frontline health care workers.

When Will I Be Able to Receive the Vaccine?

  • Early vaccine supplies are limited, and distribution is happening in phases. We are now offering the vaccine to our health care workers — those who have worked tirelessly since the beginning of the COVID-19 pandemic to keep our communities healthy.
  • We will provide vaccines to our staff and residents at long-term care facilities as vaccines arrive.
  • Vaccine access will then expand to essential workers, individuals with health conditions that put them at risk of COVID-19, and then to the general population.
  • We are hopeful to have a widespread distribution of the vaccine to community members in spring 2021. We are working closely with state and federal government officials during this process.
  • Hospitals, doctors’ offices, and clinics cannot provide patients with COVID-19 vaccines at this time.

    • How Can I Learn More?

    As COVID-19 vaccine distribution occurs, we are committed to keeping you updated and informed. Please visit our webpages and Facebook page for up to date information. 

    The arrival of vaccines is exciting news, but you must continue practicing COVID-19 preventive measures, including wearing facemasks, avoiding large groups, and practicing good hand hygiene, even after you receive the vaccine. These activities save lives.

    How to get your child vaccinated. For further assistance call 814-263-5804

    As a direct impact from COVID19 with patients avoiding medical practices and the advancement of telehealth, there are less vaccinations being ordered and administered as noted in the CDC document. This is not an ideal situation. The lack of vaccinations will open up windows of opportunity for measles, chicken pox, or mumps (just to name a few) to surge back next fall/winter. This on top of a possible COVID19 surge would be even more devastating than what we just went through.

    Bring your child in for a well-visit. No worries as we are adhering with the CDC and taking all safety precautions to stop the spread of COVID19. Call 814.263.5804 to schedule an appointment.

    ATTENTION

    CORONAVIRUS RECOMMENDATIONS

    If you develop any flu-like symptoms (fever, cough, shortness of breath), please do the following:

  • Stay home and call either center at 814.263.5804 to discuss your symptoms with the health care team.
  • Avoid public areas (do not go to work, school or public locations) until symptom free.
  • Avoid public transportation, ride-sharing, taxis, Uber.
  • Stay away from others as much as possible, keeping to your own bedroom at home.
  • Wear a facemask if you must be around other people or have to go out in your community.
    • For further information, please see the following fact sheet from the CDC:
    What to do if you are sick with coronoavirus disease 2019
    How to get tested diagram. For further assistance call 814.263.5804
    Download

    How to Get Tested

    Download Pennsylvania Department of Health Guidelines for COVID-19 testing.