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Crane Hospital

Public Notice!!

CRANE RHC IS OFFERING MODERNA VACCCINE EACH WEDNESDAY FOR 18 YEARS OF AGE AND OLDER.

*Call for an appt. to receive your vaccine. 432-558-3758
*PLEASE COMPLETE THE MODERNA PAPERWORK ON THIS WEBSITE PRIOR TO YOUR APPT.
*If you are unable to keep your scheduled appt., please call the clinic and cancel.
*We need 10 people scheduled for the vaccine each Wed. If we do not have 10, we will need to move the vaccinations to the next Wed.
*There are 10 doses in a vial of Moderna Vaccine and in order to prevent wastage, we need 10 people scheduled each week.


Below are the related forms for the first dose of vaccine.


English Form Packet

MODERNA COVID-19 Vaccine

MODERNA COVID-19 VACCINE Fact Sheet for Recipients and Caregivers
COVID-19 Vaccine Screening and Consent Form
IMMTRAC2 Adult Consent Form
IMMTRAC2 Disaster Information Retention Consent Form

PFIZER COVID-19 Vaccine

PFIZER COVID-19 VACCINE Fact Sheet for Recipients and Caregivers
COVID-19 Vaccine Screening and Consent Form for 12 to 17 Years Old
COVID-19 Vaccine Screening and Consent Form for 18 Years Old and Above
COVID-19 Vaccine Booster Screening and Consent Form for 18 Years Old and Above
IMMTRAC2 Minor Consent Form for 12 to 17 Years
IMMTRAC2 Adult Consent Form for 18 Years Old and Above
IMMTRAC2 Disaster Information Retention Consent Form

Spanish Form Packet

MODERNA COVID-19 Vaccine

MODERNA COVID-19 HOJA INFORMATIVA PARA RECEPTORES Y CUIDADORES
COVID-19 Vaccine Screening and Consent Form
IMMTRAC2 Formulario de Consentimiento para Adultos
IMMTRAC2 Formulario de Consentimiento de Retencion de Informacion Sobre el Desastre

PFIZER COVID-19 Vaccine

PFIZER COVID-19 HOJA INFORMATIVA PARA RECEPTORES Y CUIDADORES
Vaccine Screening and Consent Form 12 años a 17 años
Vaccine Screening and Consent Form 18 años a Mayores
Vaccine Booster Screening and Consent Form 18 años a Mayores
IMMTRAC2 Formulario de Consentimiento para Menores de Edad 12 años a 17 años
IMMTRAC2 Formulario de Consentimiento para Adultos 18 años a Mayores
IMMTRAC2 Formulario de Consentimiento de Retencion de Informacion Sobre el Desastre



Meetings and Agendas


2021 Board Meeting Agenda

Click on link below for the latest board meeting Agenda
October 26, 2021 Agenda


Click on the following links to view past meeting agendas for 2021

September 28, 2021 Agenda

August 24, 2021 Agenda

July 29, 2021 Agenda

June 22, 2021 Agenda

June 1, 2021 Agenda

May 25,2021 Agenda

April 27.2021 Agenda

March 22, 2021 Agenda

Feb 23, 2021 Agenda

January 26,2021 Agenda

January 7, 2021 Agenda



Click here to view archived documents