Notice of Vaccine Benefit Coverage

All persons who wish to receive immunizations at the Morgan County Health Department are required to contact your insurance provider prior to seeking service. Upon receiving a call to schedule an appointment, you will be asked to provide the following information:

  1. Does your insurance plan cover the vaccines(s) requested?

  2. Is the Morgan County Health Department in network for your benefit plan?

Failure to provide this information will result in our inability to schedule an appointment for immunization services.

Request an immunization appointment here

Adult Immunization Form

Adult Immunization Contraindication Checklist (Including 317).docx

Child/Teen Immunization Form

Child and Teen Immunization Scr Questionnaire front.doc

Permission (Proxy) Form for Non-Parent/Guardian to Accompany a Minor for Services