COVID-19 Vaccine Consent Form

Personal Information

Emergency Contact Information

Please read below carefully and ask for help if you need

The COVID-19 vaccine will reduce the risk of being suffering from the new type of Coronavirus disease as known as COVID-19. Please be aware that the vaccine is not completely effective like all other medicines. It can take a few weeks for your body to build up protection from the vaccine. There is always a chance to get infected by Coronavirus even with the vaccine; however, the vaccine lessens the severity of any infection. Two doses will reduce the chance of being seriously ill and reduce the risk of death due to Coronavirus. This vaccine does not give you COVID-19 infection, but you still need to follow the health instructions in your workplace and in public areas, such as wearing a mask and keeping the distance from others. The vaccine has some side effects as the other vaccines/medicines, but not everyone gets them. The most likely side effects that you may experience from the vaccine Fever Pain at the injection site Redness and hardness of the skin at the injection site Headache Muscle aches or pain Joint aches or pain Fatigue (tiredness) Nausea/vomiting Chills Underarm gland swelling on the side of study vaccination If you think you are experiencing any side effects, please remain calm and see your doctor immediately. If you are currently pregnant or planning to get pregnant or your partner is planning to get pregnant; please see your doctor before getting vaccinated.

Why Choose Southern Primary Care?

Sometimes health issues can’t be prevented. But taking steps toward healthier living is a good place to start.
 
Southern Primary Care has the gentle approach needed to assist seniors in maintaining health.

What Southern Primary Care Offers

Whether you need assistance with chronic conditions, or guidance for working your body and mind, we know how to help. We put in the time to get to know our patients, so that we can prescribe an effective treatment method that’s right for them.

The Importance of Care

We believe that our seniors still have a part to play in our communities, and we take our role of maintaining their health seriously.
 
If you’re looking for care in Macon or Warner Robins, come to Southern Primary Care.

When it comes to good health

Many believe that age-related illness is an inevitably. We’re to help prove to you that you can maintain good healthy at any age.

As we grow older, our bodies tend to naturally get weaker and more susceptible to ailments. Organ function may also diminish over time, as well.

Our patients come first

That’s why our team consists of doctors whose goal is improving the quality of life in seniors. We can assist in screening for age-related illness and provide treatments and medication to give you the extra boost you need for a healthy, active life. The best way to remain happy and well as you enter your senior years is to maintain an active approach with your health.