COVID-19 Vaccine Clinic Program

Steps:

1. Automated Email Notification with Clinic Dates

• Facility primary and secondary point of contacts will receive an automated email notification from no-reply@CVSHealth.com listing pre-selected scheduled clinic dates.

2. Delivery of Consent Forms

• A packet will arrive in the mail, containing triplicate version consent forms and clinic posters.
   
  • An electronic, editable PDF version of the consent form and Responsible Party cover sheet is available, if needed
  • HELPFUL TOOL: COVID 19 Vaccine Consent Process Guide.pdf

3. Clinic Confirmation

• Clinic confirmation window begins directly after Step 1 (Clinic Scheduling).
• Facility can confirm the pre-selected clinic dates by one of the following three methods:
   
  • Facility will receive a phone call from our CVS Pharmacy team at 1-800-SHOP-CVS to confirm. Our team will make three (3) attempts to reach the facility via phone.
  • If clinic date is greater than 5 days away, facility can visit our online portal Confirm My Clinic to complete the survey and move forward with clinic confirmation 
  • If clinic date is 3 to 5 days away, facility should call our team at (866) 211-5678 to speak with a representative and confirm the upcoming clinic date.
• PLEASE NOTE: if clinic has not been confirmed 3 days prior to the clinic date, the clinic will be rescheduled to a new date.

4. Automated Confirmation Email

• Once the clinic has been confirmed by one of the above methods, the primary and secondary point of contact will receive a second automated email notification from no-reply@CVSHealth.com that states the upcoming clinic has been confirmed.
• This email confirmation will also contain important information regarding next steps in the clinic process, including links to access the Vaccine Clinic Scheduler and submit Multi-Patient Registration.

5. Consent Form Completion

• Prior to the clinic date, each participant will need to complete a CVS Health COVID-19 Vaccine Intake Consent form.
• Along with the completed consent forms, each participant will need to provide front and back photocopied images of their insurance cards.
• HELPFUL TOOL: COVID 19 Vaccine Consent Process Guide.pdf

6. Multi-Patient Registration Upload

• In order to best plan for a successful event and accommodate all interested participants, a Multi-Patient Registration form will need to be completed and submitted into the Vaccine Clinic Scheduler prior to the clinic date.
• This step can be accessed via the link provided in the confirmation email notification.
• PLEASE NOTE: Multi-Patient Registration form cannot be uploaded until the clinic has been confirmed.
• HELPFUL TOOL: COVID 19 Vaccine Clinic Multi-Patient Registration and Billing Guide.pdf

7. Clinic Preparation

• Please ensure all consent forms and copies of insurance cards are complete and ready prior to clinic date.
• For facilities holding a centralized clinic, please prepare the following clinic space requirements:
   
  • Have a minimum clinic space of 10ft by 10ft
  • Provide one table and two chairs for vaccine administration area with a power source
• For facilities offering room-to-room patient vaccinations, please prepare the following:
   
  • A facility colleague needs to be made available to go room-to-room with each CVS Immunizer during the entire clinic
  • Provide a rolling table or cart to carry vaccine and supplies

8. Clinic Day

• A member of our CVS Immunizer team will arrive 60 min early to prepare for the clinic.
• We will bring all supplies required to conduct the clinic, including the vaccines, PPE, and cleaning materials.
• After administration, one copy of the completed consent form will be provided to the patient and one copy will be provided to the facility for documentation.