KEEPING OUR MEMBERS SAFE AND OUR FACILITIES OPEN
Boys and Girls Club of Santa Monica IS PARTNERING WITH INSPIRE DIAGNOSTICS TO OFFER CONVENIENT COVID-19 VACCINE CLINICS WITH NO OUT-OF-POCKET COST*
Boys and Girls Club of Santa Monica IS PARTNERING WITH INSPIRE DIAGNOSTICS TO OFFER CONVENIENT COVID-19 VACCINE WORKPLACE CLINICS WITH NO OUT-OF-POCKET COST*
COVID-19 Testing and Vaccination Event
December 11, 2021
Boys and Girls Club of Santa Monica
1220 Lincoln Blvd
Santa Monica, CA 90401
Vaccine Registration Form
Step 1 of 4
Inspire Diagnostics is pleased to be offering COVID vaccine mobile services to area facilities. The primary focus of this mobile facility-based event is to provide personable and convenient vaccination access for valued team members and their household.
Please complete this form for each eligible individual that would like to be vaccinated at the workplace hosted event. A consenting parent/guardian must consent and be present at the time of vaccination of a minor( younger than 18 years), unless individual is an emancipated minor.
Inspire may offer Pfizer, Moderna, and Johnson & Johnson vaccines (primary 2-part series and booster dose). Vaccine availability is based on the Department of Public Health allocations.
Our goal is to help all members return to their lives safely, with peace of mind.
*Inspire Diagnostics will bill your health plan, the government, a government health plan or the uninsured fund for the vaccine. There will be no patient out-of-pocket cost.