If you have questions regarding the vaccine or your appointment, please contact Passport Health at 1-877-440-1795 . If you are in need of contacting the pharmacy, you may call 405-751-2852.

Appointments are preferred but not required. We encourage you to register, if you are able, to ensure we are fully prepared for your visit!

Please dress with consideration to having your upper arm exposed. We suggest a short sleeve shirt, if possible.

After registration - download & bring completed consent form to your appointment. Extra consent forms are available at check-in if you do not have access to a printer.

We accept a limited number of insurance plans - Aetna, Blue Cross Blue Shield, Cigna, Community Care, Global Health, HealthCare Highways, HealthChoice, Soonercare/Medicaid, Medicare and Medicare Advantage plans including Humana, United Healthcare, and UMR. If you have one of the following insurance providers, please bring your health insurance card or a clear copy of both sides of the card. If you do not have health insurance - cash or credit are accepted forms of payment.

DO NOT ATTEND THIS EVENT IF ARE FEELING SICK INCLUDING FEVER, COLD OR FLU LIKE SYMPTOMS, OR TESTED POSITIVE FOR COVID IN THE PREVIOUS 14 DAYS
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You will receive those immunizations as medically indicated by your health consultant staff. Vaccine Information Statements are available online here.
Medical History Questions
Have you ever had an anaphylactic or severe allergy reaction to any of the vaccines or any component of a vaccine that you are choosing to receive today? Yes No
Have you ever had an anaphylactic reaction, such as hives, wheezing, difficulty breathing or circulatory collapse related to latex, chicken eggs, egg products, gelatin, neomycin, yeast, or thimerosal, which is found as a preservative in contact lens solution and some vaccines? Yes No
Do you have any history of Guillain-Barre Syndrome? Yes No
Have you ever been dizzy or faint when getting a vaccine or having your blood drawn? Yes No
Are you immunocompromised or taking medications that may cause you to have a decreased immune response to the vaccine? Yes No
Are you pregnant, trying to get pregnant, or breastfeeding? As some of these vaccines have not been tested in pregnancy or while breastfeeding, they should only be administered if the benefits outweigh the risks. It is recommended to wait at least 30 days after vaccination to try and get pregnant. Yes No
Have you had other live vaccines (MMR, Yellow Fever, Varicella) or a TB test in the past 4 weeks? Yes No
Have you received passive antibody therapy as treatment for COVID-19 in the past 90 days? Yes No
Do you have a bleeding disorder or are you taking a blood thinner? Yes No
Do you have a progressive neurological disorder, uncontrolled epilepsy or progressive encephalopathy? Yes No
Did you ever develop encephalopathy (brain disorder) without an identifiable cause within 7 days of administration of prior DTP, DTaP or Tdap? Yes No
Do you have polycythemia vera (rare blood disorder) or Leber’s disease (rare eye disorder) or ever had an allergic reaction to hydroxocobalamin or cyanocobalamin? Yes No
Have you received any previous pneumonia vaccinations? Yes No
Have you had a serious reaction to a previous dose of PPV (Pneumococcal Polysaccharide Vaccine) or any component of the vaccine, including a vaccine containing diphtheria toxoid? Yes No



Need help? Contact us at Accounts@passporthealthusa.com


Passport Health is committed to keeping your personal data safe and we endeavor to take every reasonable precaution to ensure security.  Passport Health complies with health care data reporting requirements of State and Federal authorities, as well as subpoenas, and may use or disclose data as required or requested for billing and payment purposes.  Outside of this, access to your personal information is restricted to employees at Passport Health for internal purposes only and is never sold.