Who is eligible?
Members and covered dependents are eligible to participate at no cost.

What services are offered?
   Flu
   Hepatitis A
   Hepatitis B
   MMR
   Tdap
   Shingles (for ages 50+)
   Vitamin B12 injection (for ages 18+)
   Wellness Screenings, via venipuncture (for ages 18+)

Wellness screenings include: blood pressure, height, weight, waist circumference, BMI, Chem 30, CBC, HbA1c, and TSH for everyone; PSA for all males ages 40+. Those who would like to receive a wellness screening will complete an additional paper consent form on the day of the clinic.


Do I register ahead of time?
Yes. Pre-registration ends for each clinic ends 2 days prior to the wellness fair.
   1. Select your location and preferred appointment time.
   2. Provide demographic and answer the medical questions below.
   3. Select desired services.
   4. Dress appropriately to receive a blood draw or an injection in the upper arm.

Are walk-ins accepted?
Pre-registrations are encouraged and expected. Acceptance of walk-ins depends on availability on the day-of the event. If availability allows, walk-ins must complete immunization and/or wellness screening consent forms on the day of the clinic.

You are able to cancel your appointment through your confirmation email. If you have not received a confirmation email, please check your email's spam folder before you contact healthfair@myteamcare.org.



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First Name
Last Name
Date of Birth
 
 
Email
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Mobile Phone Number
Gender
Last Four of SSN
Services I'd like to receive
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
Are you taking salicylate medication such as aspirin? Yes No
Have you had a blood transfusion or received other blood products recently? Yes No
Do you have tuberculosis? Yes No
Have you ever had an anaphylactic reaction to polymyxin B, or streptomycin? Yes No
Are you allergic to aluminum and aluminum hydroxide? Yes No



Need help? Contact us at healthfair@myteamcare.org