Houston Methodist COVID-19 Vaccine Clinic Request

Thank you for your interest in having your organization host a Houston Methodist COVID-19 Vaccine Clinic. Please complete this form in its entirety in order for your request to be considered.

  • Please ensure you are submitting your request at least 10 business days prior to the requested event date.
  • Upon receiving your request, we will contact you within five (5) business days to discuss your request in more detail.
  • Houston Methodist will only consider complete submissions. Please ensure you complete all required fields with the accurate information.
  • Please note: Submitting this form does not guarantee your COVID-19 vaccine clinic is scheduled.
  • Houston Methodist is currently administering the Pfizer vaccine. Please note, if your request is approved, we will possibly need to return to the same location in 21 days to administer the booster shot.

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Contact Information

Event and Location Details

Please complete the following fields with detailed information on the location you are requesting for the vaccine clinic.

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