COVID-19 Vaccination Form 
For UNDER 5 years-old 
We are able to order Covid-19 vaccines for children under 5 year-old and administer vaccines by appointment only.
Please contact us if you would like to schedule this vaccine by emailing frontdesk@hipkidspediatrics.comCOVID-19 Vaccination Form 
For 5-11 years-old 
We are able to order Covid-19 vaccines for children ages 5-11 and administer vaccines by appointment only.
Please contact us if you would like to schedule this vaccine by emailing frontdesk@hipkidspediatrics.comCOVID-19
 Vaccination Form 
For 12 years + 
  
  
  
  
    Please contact us if you would like to schedule for this vaccine by emailing 
frontdesk@hipkidspediatrics.com
  
COVID-19 Vaccine Resource:
|  | Safety of COVID-19 Vaccines | 
|  | |
|  | COVID-19 Vaccine (for Parents) - Nemours Kids Health | 
 
          
        
      