COVID-19 VACCINE, TESTING AND OTHER RESOURCES (including consent forms)
October 07, 2021
Who is eligible to receive a vaccine?
ALL PERSONS 18 YEARS OF AGE AND OLDER ARE ELIGIBLE TO RECEIVE THE VACCINE IN FLORIDA
As of Monday, April 5, all Florida residents shall be eligible to receive any COVID-19 vaccine as prescribed by the Food and Drug Administration.
PERSONS AGES 12-17: The Pfizer vaccine is authorized for persons age 12 and up. The Moderna and Janssen (Johnson and Johnson) vaccines are authorized for persons age 18 and up. All individuals under the age of 18 receiving a vaccine must be accompanied by a guardian and complete the COVID-19 vaccine screening and consent form.
How do I make an appointment for a vaccine?
DOH-Bay is administering the Moderna and Pfizer vaccines at our clinic located at 597 W 11th Street, Panama City on Thursdays and Fridays by appointment. Please call (850) 872-4455, select option 1, to schedule an appointment.
The Florida Department of Health has created a vaccine locator site at https://floridahealthcovid19.gov/vaccines/vaccine-locator/.
Consent Form English: Consent - English
Consent Form (Español): Consent - Español
Consent Form (Creole): Consent – Creole
Moderna Information Card: Moderna Info
How do I replace my COVID-19 vaccination card?
DOH-Bay does not issue replacement COVID-19 vaccination cards. Instead, individuals who were vaccinated in Florida can get a copy of their Florida shot record. Please follow one of the steps below to get a copy of your shot record:
- Submit your request directly to Florida SHOTS: You can request your COVID-19 vaccination records directly from Florida SHOTS by filling out the Florida Department of Health form – DH3203 Authorization to Disclose Confidential Information form online, electronically sign and submit it here.
- Email DOH-Bay at firstname.lastname@example.org. Put Immunizations in the subject line. Instructions and a consent form will be emailed back to you.
- Send a fax to (850) 747-5475 Attn: Immunizations. You will receive instructions on how to obtain your Florida shot record.
- Come to our office at 597 W 11th Street, Panama City and enter through the Clinic entrance. Sign in at the kiosk and someone will assist you.
- Call (850) 872-4455, select option 1 to make an appointment.
Copies of your Florida shot record are free of charge.
Do I need to be a resident of Florida to receive the COVID-19 vaccine?
State Surgeon General Scott Rivkees issued a Public Health Advisory on April 29 authorizing a COVID-19 vaccine to any eligible individual (as prescribed by the Food and Drug Administration) who is a Florida resident or who is present in Florida for the purpose of providing goods or services for the benefit of residents and visitors of the State of Florida.
To prove residency an adult resident must provide a copy of his or her valid Florida driver license or a copy of a valid Florida identification card.
Seasonal residents may provide a copy of two of the following to show proof of residential address:
- A deed, mortgage, monthly mortgage statement, mortgage payment booklet or residential rental or lease agreement.
- One proof of residential address from the season resident’s parent, step-parent or legal guardian or other person with whom the seasonal resident resides and a statement from the person with whom the seasonal resident resides stating that the seasonal resident does reside with him or her.
- A utility hookup or work order dated within 60 days before registration.
- A utility bill, not more than 2 months old.
- Mail from a financial institution, including checking, savings, or investment account statements, not more than 2 months old.
- Mail from a federal, state, county, or municipal government agency, not more than 2 months old.
Seasonal resident means any person who temporarily resides in this state for a period of at least 31 consecutive days in each calendar year, maintains a temporary residence in this state, returns to the state or jurisdiction of his or her residence at least one time during each calendar year, and is registered to vote or pays income tax in another state or jurisdiction.
COVID- 19 Testing
Other COVID-19 Testing Options
The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people of all ages. Fear and anxiety about the unknown can sometimes feel overwhelming to adults and children. Coping with stress will make you, the people you care about, and your community stronger. If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others call Bay County's Crisis line at (850) 522-4485.
The United Way of Northwest Florida is providing information on public services and resources available in our area including food banks. Please visit their dedicated webpage at http://unitedwaynwfl.org/covid-19/. You may also utilize their 211 service for referrals, just call 211 from any phone or visit https://211nwfl.communityos.org/.
Rebuild Bay County may have resources available to assist persons in need. Visit https://rebuildbaycounty.org/for more information.