Covid-19 Vaccine Registration

Lauderdale Lakes: 2412 N State RD 7, Lauderdale Lakes, FL 33313

Complete this form if you are 40-years old or older and would like to receive the Johnson & Johnson COVID-19 Vaccine administered by the Florida Department of Health. Only those who are 40-years or older are eligible to receive the vaccine at this administration site.

Ranpli fòm sa a si ou gen 40 an oswa plis epi ou ta renmen resevwa vaksen Johnson & JohnsonCOVID-19 ke Depatman Sante Florid pral administre nan. Se sèlman moun ki gen 40 an oswa plis ki kalifye pou resevwa vaksen an nan sit administrasyon sa a.

Complete este formulario si tiene 40 años o más y desea recibir la vacuna Johnson & Johnson COVID-19 administrada por el Departamento de Salud de Florida. Solo aquellos que tengan 40 años o más son elegibles para recibir la vacuna en este sitio de administración.