Stacy Medial Center is offering Pfizer COVID-19 vaccinations on-site at the workplace for employees working within Vernon City Limits.
If you are interested in vaccinating your employees please follow the instructions below:
1: SEND A LETTER OF INTEREST TO:
Attn: Freddie Agyin, MS, REHS
Subject: Pre-order COVID-19 Vaccinations
a: Name of Employer
b: Business Address
c: Location where employee(s) work
d: Industry Type i.e. Food & Agriculture
d: Total number of employees
e: Total number of employees desiring COVID-19 vaccination
f: Telephone No.
g: Name of contact
h: Email xls list of employees requesting vaccination to:
Veronica Petrosyan-Scheduling firstname.lastname@example.org
2: You will be contacted upon receipt of this letter of interest and your company will be prioritized in the vaccine queue per LAC guidelines.
3: You will be contacted at least 5 working days prior to scheduling vaccinations at your site. You will be required to distribute COVID-19 Vaccine Information fact Sheets and COVID-19 Pre-vaccination screening forms to employees. Following collection of completed COVID-19 Pre-vaccination screening forms from employees, you will login to our vaccine scheduling portal and pre-register each of your employees desiring vaccination, PRINT the appointment / consent form for each employee.
4: The day prior to vaccination we ask that you distribute the Vaccine appointment / consent from to each employee that commits to vaccination and report the number of doses required to Freddie Agyin, MS, REHS
5: On the day of vaccination we request that you dispatch 5 employees to the vaccination station every 15 minutes. The employees will be required to follow social distancing rules as they line up for vaccination.(It is important that we maintain the planned vaccination pace as the mixed vaccine is labile and has a short shelf life).
6: Following vaccination each employee will be asked to remain sitting in the post vaccination observation area for 15 minutes (30 minutes if they are at increased risk for anaphylaxis) prior to release back to their workstation.
7: The employee will automatically be rescheduled for their second dose of vaccine and the employees record of vaccination will automatically be filed with CAIR.
8: Site requirements:
Federal Law Requires that each individual participating in the STACY MEDICAL CENTER - CITY OF VERNON COVID-19 VACCINATION CLINIC review the Pfizer COVID-19 Vaccine Information fact sheet and complete the COVID-19 Pre-vaccination screening form.
Pfizer COVID-19 Vaccine EUA Fact Sheets
COVID-19 Pre-Vaccination Screening Forms
Choosing to participate in the STACY MEDICAL CENTER - CITY OF VERNON COVID-19 VACCINATION CLINIC requires that the employer post these information sheets at the workplace.
Click To Access Vaccination Scheduling Portal
NOTICE TO EMPLOYER SPONSORING GROUP VACCINATION PROGRAM
The COVID-19 vaccination program is partially funded by the Federal Government, the vaccine is provided to the public free of charge. The usual and customary charge to administer the vaccine includes scheduling of vaccination, review of vaccination consent, preparation and administration of vaccine, filing record of vaccination with CAIR and scheduling follow-up vaccination. Upon receipt of complete medical billing information from employer / employee, Stacy Medical Center / Alameda Industrial Medical Group will bill employees group health insurance carrier, CMS or an uninsured fund for the vaccine administration fee.