Immunizations

If you’re not a member of the practice but would like to schedule an appointment for vaccination, we are happy to help depending on availability.

We partner with a program called Vaxcare that allows us to provide immunizations for children (and some for adults) with most commercial insurance plans; Vaxcare is able to bill your insurance company, so in most cases there is no additional fee or co-pay. We offer self-pay vaccination as well. We are not currently set up to provide vaccines for children on Medicaid plans.

Please complete the form below and we will get in touch promptly.

Check back in the fall for our annual “Flu Shots & Farm Animals” clinic, as well!

Immunization Request Form

Your Name

First Name

Last Name

Phone

(###)

###

####

Please provide the age of the individual(s) to be vaccinated

Which vaccines would you like to receive?

If planning to use insurance, what is the name of your insurance company? If you are planning on self-pay, please indicate that here.

Please let us know if there are specific days or times that you would prefer for a vaccine appointment. Our availability varies week to week.

Immunizations

If you’re not a member of the practice but would like to schedule an appointment for vaccination, we are happy to help depending on availability.

Please complete the form below and we will get in touch promptly.

Immunization Request Form

Stowe Farm Pediatrics