COVID-19 Vaccine

Updated as of January 19, 2022

Clinic Dates: for 5-11 year olds ONLY  

January 28th, 2022--> First Dose

February 18th, 2022 --> Second Dose

If you are coming for one of our vaccination clinics, please read the following information to help the day run smoothly.  

Prior to your vaccine appointment you will need to fill out 2 forms:

  • Click here to complete the online NYS COVID-19 Form for each of your children who is getting vaccinated.   Your child will not be able to receive the COVID-19 vaccine if this form is not completed before the appointment. Please take a screenshot or a picture of the completed form that you will need to present in the office on the day of your appointment.   This form is for the 1st vaccine appointment only.

  • Click here for the NYS demographic and screening form which you will need to print and bring to your appointment.  Note, if we have your insurance information on file you do not need to fill out that section unless it has changed since your last visit.   This form needs to be filled out for both the 1st and 2nd dose.  

  • Remember to bring your vaccine card with you to your appointment for your second dose.  

How to prepare for your visit

  • All vaccines will be given in the upper arm.  Please dress your child appropriately to help speed up the process and allow us to administer the vaccination as efficiently as possible.

  • Please arrive no earlier than 15 minutes before your time slot and be prepared to remain under observation for 15 minutes after the vaccine is administered. 

  • There will be a 15-30 minute observation period following the vaccination (depending on your health history), which will take place outside - please dress warmly. 

While it is our goal to vaccinate as many of our patients as possible, we have limited availability in our schedule. If you are unable to make the appointment times we have available, or if they are all booked up, we encourage you to get your child vaccinated at another location. Schools, pharmacies and community based clinics are also administering the vaccine. You can use the CDC Vaccine Finder here to find alternative places to get your child vaccinated. 

Information regarding the Pfizer-BioNtech Covid-19 vaccine data in children 5-11 year olds can be found here.   

If you have any questions about the Covid-19 Vaccine, you can find more information here


Hudson Heights Pediatrics