OSCFC Registration for COVID-19 Vaccination

OSCFC Appointment Form for COVID-19 Vaccination

Location: OSCFC Headquarters - 1015 NW 96th Street, OKC, OK 73114 - Date: Saturday, February 27, 2021
Available Times: 10:00 AM to 2:30 PM

Appointment Form

Instructions: 1) Complete the Application Form (to the right, or below if using a mobile phone); 2) Check your email for a confirmation email message; 3) Bring your ID (driver's license or state-issued ID) & medical insurance card(s) with you; 4) BE ON TIME at 1015 NW 96th Street at your confirmed scheduled appointment time.

Confidentiality Statement: The information you provide using the online Appointment Form will be used exclusively for appointment scheduling purposes for your COVID-19 vaccination; and will only be shared externally with the Oklahoma City-County Health Department (OCCHD).

* Indicates required field

Vaccination Groups & Appointment Times *

Your Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email Address *

Age *

Proof of ID *

State Driver's License State-Issue ID

Comments (Optional) *

Submit

OSCFC Appointment Form for COVID-19 Vaccination

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OSCFC Appointment Form for COVID-19 Vaccination​

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OSCFC Appointment Form for COVID-19 Vaccination