Vaccine Clinic

Office Hours:     By Appointment Only
                           Mon, Tues, Wed & Fri, 8:00 a.m. - 3:30 p.m.
                           Thurs, 8:00 a.m. - 5:00 p.m.
Location:            3131 O St, 1st Floor, Lincoln, Nebraska 68510
Telephone:         402-441-8065

Please call for more information or to make an appointment.  

Pre-Visit Vaccination Forms

Save time waiting in the clinic! Print, fill out and bring completed forms with you to your appointment. Each person needs a screening form to match the vaccine they will receive. If a child is receiving vaccines without a parent or legal guardian present, please print, fill out & bring a consent form as well. You may fax completed forms to 402-441-8646 before your visit.

AUTHORIZED CONSENT FORMS

IMMUNIZATION SCREENING QUESTIONS

IMMUNIZATION SCREENING QUESTIONS - For Children & Teens (Under 19)

Requirements for Childhood Vaccines

  • Children through 18 years of age and one of the following:
    • Uninsured, Underinsured, Medicaid Covered
    • American Indian or Alaskan Native
  • Must be accompanied by a parent or legal guardian
  • Bring records of previous vaccines

Requirements for Adult Flu Vaccines

  • Low income, uninsured, underinsured adults
  • No adult will be denied service due to the inability to pay

Resources

 

 

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