COVID-19 Mass Vaccination Clinic

Consent Form

The Pemiscot County Health Center is working with the MO Department of Health and Senior Services (DHSS) and the MO National Guard on distributing the COVID19 vaccinations to our area. There will be a vaccination clinic held on February 26th, 2020 from 9-4:00pm at the Century Casino in Caruthersville, MO. This event is ONLY for the individuals who received their 1st dose on Feb 5th. If you received the first dose from us then you should have received an email from us to the 2nd sign up. If you did not receive an email please call us at 573-359-1656 and will be happy to help you.  After you have registered please download and fill out a consent form here . If you are unable to print off a consent form, you can pick one up at the Health Center or the Caruthersville Library. Please bring the filled out consent form with you to the vaccination site.   Once the registration link is available we will have the link here and on our Facebook page. When you do sign up please make sure when you arrive to the vaccination site that you have plenty of gas and if you are on oxygen please make sure you have brought plenty with you in case it takes a while to get you through the line. Thank you for your time and patience.


Pemiscot County Health Center
Hayti, MO 63851
P: 573.359.1656 | F: 573.359.0159 | login | email