Yes - Straightforward registration
Unable to Verify - Referred to BO
-Any issues or if you are unsure about a registration, refer to BO to complete.
Please describe steps taken to verify HRN or list duplicates found
Pending - Further verification needed
-This field is to be used unless the appointment is confirmed.
***PENDING - HEALTH OFFICIAL***
- Registrant needs Health Official Approval
**Pending - Appointment based on availability**
- Registrant does not fall under current phase protocols
- Documentation is complete
Appointment Confirmed - Valid ID Missing
- Valid ID needed on-site
Appointment Confirmed - Insurance Card Missing
- Insurance Card needed on-site
Appointment Confirmed - Documentation needed on site
- Insurance card and Drivers License needed on-site
**DO NOT CALL**
- Patient who do not want to be contacted anymore.
HEALTH OFFICIAL REVIEW SELECTED. DO NOT UPDATE APPOINTMENT STATUS UNLESS HRN HAS BEEN INPUTTED. IF NO HRN, REFER TO BUSINESS OFFICE BEFORE APPROVING APPOINTMENT
Uploaded - Insurance Card: Registrant uploaded insurance card and is good to go.
Missing - Insurance Card: Registrant indicated "YES", but did not upload their insurance card.
Does Not Apply - No Insurance: Registrant indicated that they do not have insurance.
Please ensure that all documentation has been uploaded. Do not update "Pre-Verification Appointment Status"
Please leave a comment on why documentation was not uploaded.
Stage 1 - Verification (First Dose)
Please pick location/date for second dose
Stage 1 - Second Dose (Verification)
Stage 1 - Additional Dose (Verification)
Stage 2 - Vaccinations (First Dose)
FIRST DOSE: PFIZER
FIRST DOSE: MODERNA
Date Format: MM slash DD slash YYYY
Stage 2 - Vaccinations (Second Dose)
SECOND DOSE: PFIZER
SECOND DOSE: MODERNA
Stage 2 - Vaccinations (Additional Dose)
Stage 3 - Observation (First Dose)
Stage 3 - Observation (Second Dose)
Stage 3 - Observation (Additional Dose)
Please click the button below to register for your Additional / Booster Dose.