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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

Poplar Avenue & Perkins
4637 Poplar Avenue
Memphis, TN 38117
(901) 685-9999

Germantown / Cordova

Monday – Friday: 9am to 5pm
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

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