Livingston County Department of Health Pediatric Vaccine Clinic

Livingston County Conference Center

(Located in the back of the
Department of Social Service Building)

1 Murray Hill Drive
Mount Morris NY


First Shot: July 30, 2022

Second Shot: August 27, 2022



"*" indicates required fields

Date(s) That You Plan To Attend:*
Fecha(s) En Las Que Planea Pasar:
Child's Name (Patient)*
Nombre del Niño (Paciente)
Parent/Guardian's Name*
Nombre del Padre/Guardián
Dirección física
Número de teléfono
Email Address*
Dirección de correo electrónico
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