Saturday, May 15,2021 from 9 AM to 2 PM.

Vaccine Clinic:

Eastwick United Methodist Church

8321 Lindbergh Boulevard,

Philadelphia, PA 19153

Please print and fill out forms before coming to the clinic.

Please bring, if available, ID and Insurance Card, other identifiers as needed.

Thank you.

Eastwick United Methodist Church

Partnering with Rite Aid, The Office of Congressperson Mary Scanlon

Covid vaccine consent form English


Covid vaccine consent form Spanish


No responses yet

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.