Phone: 703.933.0555 / Fax: 703.933.0999

COVID-19 VACCINE is here..

Van Dorn Pediatrics is pleased to announce that COVID-19 Vaccine is now available to our patients 12 years and up.

Please call us in your earliest convenience to schedule your appointment at (703) 933-0555

Van Dorn Pediatrics Established Patients:

Review the Emergency Use Authorization (EUA)

Sign the consent form that you understand and consent to the EUA Fact Sheet

EUA form covid (3)

Answer the Pre-vaccination questions:

English

Spanish

New Patients:

Fill out Van Dorn Pediatrics Registration Form

Review the Emergency Use Authorization

Sign the consent form that you understand and consent to the EUA Fact Sheet

EUA form covid (3)

Answer the Pre-vaccination questions:

English

Spanish

Please thankfully print, fill out your forms and bring them to your appointment:

V-safe After Vaccination Health Checker

COVID-19 Care for Uninsured Individiuals