Online
signup is now closed. Please follow the link below to
print a
form
to complete and turn in at the time of vaccination.
Thank you.
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You
may print a paper request form to be turned in at the
time
of immunization to decrease your waiting time.
Paper
Request Form
*In
order to open this Immunization Request Form you must have
Adobe
Acrobat
Reader. To download this free program please click the
link below:
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You MUST present the following
card in order to receive your vaccinations with no copay
for you and/or insured dependents:
A
Medco Rx prescription card
(pictured
left) provided by the New Mexico Public Schools Insurance
Authority or the State of New Mexico.
As
this is a benefit of the prescription insurance coverage,
those not covered under one of the above insurance program
will be responsible for the cost of immunizations. You
may follow the link below to view Cash pricing for all
available vaccinations.
NO/OTHER
Prescription Coverage? CLICK HERE to see pricing
details.
