BELNICK – On-Site COVID-19 PFIZER 4PM-5PM MODERNA 5PM-6PM Clinic Signup

When:

On-Site COVID-19 Vaccines – PFIZER FROM 4-5PM MODERNA 5-6PM

Friday Feburary 4th

4:00pm-6:00pm

Where:

Belnick  

4350 Ballground Hwy

Canton, Ga 30114

How:

You must signup and complete your registration prior to vaccination date.

Register online now for your appointment by using the following instructions.

Register Online Now For Your Vaccination

1. Click on the Register Now button.
2. Complete all prompts. When prompted with “Why do you need to be seen?” please select: _Belnick Vaccines
3. Although it auto-fills the location as ‘Ascend Medical’, leave as is. Your Vaccine will be on-site
4. Select ‘Barlatt, Sabine ‘ as your Provider
5. Select a convenient time that works for your vaccination and finish registration
6. You will receive two emails –

• 1st, confirming visit
• 2nd, to log in to the patient portal, to complete forms and sign consent

Participants have 3 billing options: 

• Bill to individual insurance plan. Covered at 100%
• If uninsured, bill to CARE’s Act. You must provide your social security number in order to do so. Covered at 100%
• For self-pay and out-of-network insurance, Ascend Medical is offering vaccines for a $40 administration fee