Tuesday, March 23, 2021 from 9:00 AM - 2:00 PM
South Regional Library, 8065 Lely Cultural Pkwy, #9005, Naples, FL 34113

Dear Members,
We are happy to offer you the opportunity to receive the COVID-19 Vaccine in a special event for Parkinson's Association of SWFL members and their Care Partners.
While there is no charge for the vaccination, the following are requirements for eligibility:

1. You are a member of the Parkinson's Association of SWFL or Care Partner.
2. You are over the age of 60 *(See criteria and form below for extreme vulnerability exceptions for those under 60).
3. You are a Florida Resident.
4. You complete the Collier County registration process. You can click the registration button below to begin the process. Step by step instructions are included on this page.
5. Complete the 1-DOH Screening and Consent Form  print it and bring the completed form with you to your scheduled appointment. Please do not sign the form. 
6. ONLY Arrive 10 minutes prior to your appointment time. This is a "Walk Up" event. Pre-registration appointments are required.
7. You must bring County ID and/or Driver's License.
8. Face masks must be worn at all times.
9. Bring your printed ticket, ID, and a pen on the day of administration.

If you have any questions, need assistance registering, or printing the forms. Please call our office at 239-417-3465.

Register

REGISTER

Complete & Print Form

Required Form

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Please read the following Vaccine Information.

Click the below images to read this important information about your vaccine.

About the Moderna Vaccine

Privacy Notice

Under 60 Vulnerability Waiver

eV-safe

If you need assistance registering or printing the forms, please contact us at  239-417-3465.