The Shot Nurse Patient Forms
The forms below are listed by vaccine or service. Also provided is our HIPAA Privacy Policy about protecting your information and how the information may be used as regulated by Omnibus rule.
Print and fill out the Consent form and Authorization form prior to your visit.
Please review the VIS (vaccine information statement) on the individual vaccine pages for important information about the vaccine.
Get Your Immunizations & Wellness When and Where You Need It
Memphis
Monday – Friday: 9am to 5pm
Saturday: 10am to 2pm
Saturday: 10am to 2pm
Poplar Avenue & Perkins
4637 Poplar Avenue
Memphis, TN 38117
(901) 685-9999
Germantown / Cordova
Monday – Friday: 9am to 5pm
Saturday – Sunday: Closed
Saturday – Sunday: Closed
Trinity Commons
714 N Germantown Pkwy, S. 11
Cordova, TN 38018
(901) 685-9999
Saddle Creek
Monday – Friday: 9am to 5pm
Saturday: 10am to 2pm
Saturday: 10am to 2pm
Saddle Creek in Germantown
7596 W. Farmington
Germantown, TN 38138
(901) 685-9999
MON – FRI: 9 am to 5 pm SAT: 10 am to 2 pm
Germantown / Cordova: Closed on Saturdays
NO lab services or verification of Insurance is available on Saturdays, for travel consultations or immigration vaccinations please arrive 20 mins before closing due to time involved