COVID-19 Vaccine Consent Form 
(This form is to be completed prior to receiving your vaccine)
For any additional COVID-19 resources, click here 
Sullivan County Health Department Privacy Policy 
(Acknowledgement that you have read this Privacy Policy must be completed on the Consent Form)
Covid Vaccine Resources
For more information about Coronavirus, please visit:

Sullivan County Health Department

FDA-Retail Food Establishments-Covid-19:

Stressed by COVID-19? Access these resources for your emotional health:

For more information about available SBA resources and services, please visit

Vaccine Adverse Event Reporting System (VAERS)

-For the VAERS Informational Page cleck HERE

-For the VAERS Instructional page, click here: