Four Seasons Pediatrics

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COVID Vaccine Appts

Appointments for ages 5 and up can only be made through your web portal account.  You may also receive the vaccine for a well visit. When you arrive we cannot give the vaccine unless you have the following:

Dose 1 OR BOOSTER DOSE:

  1. Fill out, SUBMIT AND PRINT the NYS Vaccine Verification Form. After you click the submit button, print the page showing it was submitted. NYS Vaccine Verification Form
  2. Fill out the Covid Vaccine Pre-Screening Questionnaire and PRINT the Questionnaire answers and BRING with you to the appointment. COVID Vaccine Pre-Screening Questionnaire

Dose 2:

  1. Fill out the Covid Vaccine Pre-Screening Questionnaire and PRINT the Questionnaire answers and BRING with you to the appointment. COVID Vaccine Pre-Screening Questionnaire

Staff are unable to make appointments by phone.  Login to your portal account and select 

  1. Appointments –> Book Online Appointments.  
  2. For Provider select Visit, Vaccine. 
  3. For Visit Type select the appropriate Vaccine Visit Type (5-11 or 12 and up).  
  4. Reason – Type in: Pfizer 5-11 Dose 1. If you plan on getting another vaccine at the same visit please add that to the reason. (e.g. Pfizer 5-11 Dose 1 and Flu Vaccine).
  5. Enter a preferred date or leave blank for first available. 
  6. Then click Search.  Online appointments will be available 20 days in advance.  Parents and Grandparents can get appointments also, but will need to speak to our staff to register and get their own portal account. 

If you have an upcoming well visit, you may also get the vaccine.   If you intend to vaccinate at your well appointment, please send a message through your web portal account. 

IMPORTANT: For all appointments (Nurse vaccine appointments or Well Visit Appointments) you will also need to print out the REQUIRED forms as noted above.

Finally, there is no charge to you for the vaccine. We do bill your insurance company for the administration. This charge is regulated and has no cost share to you. If you are a parent or grandparent, please fill out the following Insurance Information to capture your insurance. Thank you .

Insurance Information (for those who are not a patient of Four Seasons Pediatrics)

After Your Vaccination:

We highly recommend that you register with the vaccine monitoring program. You can report how you are doing to monitor vaccine safety. Click the link below after your vaccine:

V-Safe Registration OR V-Safe QR Code (aim your camera at the QR Code)

Below is the fact sheet for the Moderna COVID-19 Vaccine. This fact sheet is information for Recipients and Caregivers

Fact Sheet for Pfizer Recipients and Caregivers

Fact Sheet for Pfizer Recipients and Caregivers for ages 5-11

Fact Sheet for Moderna Recipients and Caregivers

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