COVID-19 vaccine resources and consent form

Bay Area Community Health is now offering COVID-19 vaccines to patients and community members. 
Vaccines are available to those who meet the below criteria:

To register:

On day of vaccine:

Vaccine/Registration/Screening Consent Form:

English | Spanish | Simplified Chinese

To save time, fill out registration-screening-consent forms before you arrive at the vaccine site.

Schedule an appointment

Alameda County


Santa Clara County

MVROP Parking Lot
5019 Stevenson Blvd,
Fremont, CA 94538

Santa Teresa VTA

6360 Santa Teresa Blvd.
Enter at Santa Teresa
Blvd at San Ignacio Ave
San Jose, CA 95119

Vaccine Resources

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For further info call: 510.770.8040

For appointment cancellation, please call:
Alameda County: 510.252.6888