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

What services are offered?
   Vaccines and Immunizations by Passport Health

Flu (for ages 4+)
Flu Shot High Dose (for ages 65+)
Vitamin B12 injection (for ages 18+)

   Biometric Blood Panel Screenings      

Includes: HgbA1c, Total Cholesterol, Ratio Triglycerides, Glucose, Alkaline Phosphate, Total Bilirubin, Aspartate and Alanine Aminotransferase, Total Protein, Albumin, Globulin, Creatinine/eGFR, Calcium, Uric Acid, TSH, Total Iron, BMI, Blood Pressure and PSA testing for men age 40+.

   Skin Cancer Screenings by SkinIO (Only available in IN,GA, MO, and KY)      

An easy on-site skin check in which SkinIO’s panel of dermatologist review images taken of your skin with results sent by email in 2-3 business days.


Do I register ahead of time?
Yes. Pre-registration ends 7 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 vaccine 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.
Location Filter
First Name
Last Name
Date of Birth
 
 
Parental/Guardian Consent
Please type your full name to electronically affirm consent as registrants parent/legal guardian. Signature
Email
Confirm Email
Mobile Phone Number
Gender
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



Need help? Contact us at healthfair@myteamcare.org


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.