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We've finished our 2020 Clinic!
We've finished our 2020 Clinic!
Get Your Free Flu Shot!
Get Your Free Flu Shot!
Everyone 6 months and older should be vaccinated.
Everyone 6 months and older should be vaccinated.
No ID nor health insurance required, this program is completely free and open to the public.
No ID nor health insurance required, this program is completely free and open to the public.
HOWEVER, YOU MUST SIGN UP FOR AN APPOINTMENT IN ADVANCE TO GET YOUR FLU SHOT. SEE AVAILABLE DATES AND TIMES BELOW.
HOWEVER, YOU MUST SIGN UP FOR AN APPOINTMENT IN ADVANCE TO GET YOUR FLU SHOT. SEE AVAILABLE DATES AND TIMES BELOW.
Sign up for an Appointment
Sign up for an Appointment
(click to expand for more instructions)
If you need assistance signing up for an appointment, feel free to contact Angelita Mostasisa at +1 (415) 713-3479 or anglemost@gmail.com.
All days have appointment slots from 10:00 AM to 4:00 PM unless otherwise noted. To abide by government health regulations, appointment slots are limited and will be made available on a first come, first serve basis.
If a certain day is not yet underlined (no link), then we are not yet accepting appointments for that day. Please check the site again in the near future for those forms to become available.
If you do not see a particular time slot available for a certain day, it has already been taken. Feel free to check back in the future, more slots may become available as people cancel/reschedule their appointments.
If all appointments are taken for a certain day (only choice is "No options left"), you may sign up as a walk-in, but we will only accommodate you if there is space available and it is safe to do so, and only between 10:00 AM and 1:00 PM. If you do decide to walk in, we highly recommend printing out and filling in the required waivers below, to expedite your processing.
Saturdays
Saturdays
October 10, 2020 (only 10:00 AM to 2:00 PM)
CLOSED October 31, 2020
CLOSED November 7, 2020
CLOSED November 28, 2020
Sundays
Sundays
CLOSED November 1, 2020
November 8, 2020 (clinic closed at 1:00 PM due to hazardous wind)
CLOSED November 22, 2020
Flyers/Publicity
Flyers/Publicity
(click to expand for more information)
Feel free to share these marketing materials publically to your community members to raise awareness about our program.
Click on a button to open the document on Google Drive. On a computer, you should be able to go to File (at the top left corner), Download, then select the appropriate file format (PDF if you want to share, DOCX if you want to edit/translate first).
Know Before You Go
Know Before You Go
Preparation and Arrival
Preparation and Arrival
Everyone in the car above the age of three should bring a face mask, and wear it while they are on site at the Health Fair.
Those receiving flu shots should wear clothing with easy access to the upper arm.
As our clinic is outdoors, inclement weather or other unforeseen circumstances may force us to close the clinic early. Please check this page on our website before you come, in case of sudden cancellations.
At your dedicated appointment time, come to the Samaritan House at 4031 Pacific Blvd, San Mateo, CA 94403.
IF YOU ARE FEELING UNWELL, DO NOT COME TO YOUR APPOINTMENT. CANCEL IT AND RESCHEDULE IT FOR WHEN YOU ARE ABLE TO CLEAR THE COVID-19 SYMPTOM SCREENING QUESTIONS LISTED BELOW.
Waivers
Waivers
Anyone receiving a flu shot will have to fill out the following waivers, which will be available during on site registration. Any child under the age of eighteen must have their parent or legal guardian present to sign for them.
You can save time and effort on site by printing and filling out the waivers beforehand.
All fields requesting for signature of person receiving a flu shot must be signed by a child's parent or guardian if under the age of 18.
One per person receiving flu shot, only first page needs to be printed
Contraindications Checklist.pdfOne per group/car (fill one line per person receiving flu shot)
If you have children under 3 or pregnant women in your group, put them together on a separate form.
Flu Auth record comm clinics FY 20-21.pdfOne per group/car receiving flu shot. Head of household should fill the top section, and other members listed as members of the household.
GIHW clinic registration.pdfDisclosures/Medical Information
Disclosures/Medical Information
Vaccine Information Statement (2019) - Center for Disease Control
flu_inactive.pdfspanish_flu_inactive.pdfchinese_simplified_flu_inactive.pdfrussian_flu_inactive.pdftagalog_flu_inactive.pdfCAIR Disclosure
Contraindications Summary
CAIR Disclosure English.docCAIR Disclosure Spanish.docFlu vaccine contraindication eng.pdfFlu vaccine contraindication span..pdfCOVID-19 Symptom Screening Questions
COVID-19 Symptom Screening Questions
If, on the day of your appointment, you could answer YES to any of the questions below, for the safety of others we require that you cancel your appointment and not show up to the Health Fair. We will also ask you these questions in person prior to entrance to the Health Fair.
COVID-19_Screening Symptoms Poster 11x 17_7-29-2020_ENG.pdfCOVID-19_Screening Symptoms Poster 11x 17_7-29-2020_SP.pdfCOVID-19_Screening Symptoms Poster 11x 17_7-29-2020_CH.pdfCOVID-19_Screening Symptoms Poster 11x 17_7-29-2020_TAG.pdfClinic Information
Clinic Information
Flu vaccine Agreement SMC 20-21signed.pdfFlu Vax Standing Orders IAC Adult 9-20pdfsigned.pdfFlu Vax Standing Orders IAC Child-Teen 9-20signed.pdfLCI Certificate of Insurance 0928202021198462_20-21.pdfOur Partners
Our Partners
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