MMC COVID-19 Vaccination Clinic Registration

Registration for the COVID-19 Vaccine Clinic at St. Rest Baptist Church – 611 E Union St, Minden, LA 71055 is now OPEN.

If you are scheduled to receive the first dose of the COVID-19 vaccine on Saturday, September 25, between 9am – 11am you will return to St. Rest Baptist Church at 611 East Union Street on Saturday, October 16, between 9am – 11am.


NOTE: Two shots are required to be fully vaccinated. You will return to St. Rest Baptist Church 21 days after your first dose to receive your second dose of the vaccine. A reminder of the date and time of your second dose appointment will be provided to you at your first dose appointment. You will not need to re-register for your second dose appointment.

SECOND DOSE APPOINTMENTS: You will return to St. Rest Baptist Church 21 days after your first dose to receive your second dose of the vaccine. Please DO NOT re-register for your second dose. 

  • If you received the first dose of the COVID-19 vaccine on Saturday, September 25, between 9am – 11am you will return to Minden Medical Center on Saturday, October 16, between 9am – 11am.

Learn more about the COVID-19 vaccine:

COVID-19 Vaccination Pre-Registration - ST REST
Enter “NONE” if not applicable.
PLEASE NOTE: YOU MUST BE AGE 12 OR OLDER ON THE DATE OF VACCINATION IN ORDER TO RECEIVE THE PFIZER COVID-19 VACCINE.
Example Format: 012-345-6789
Example Format: 123-45-6789
Enter “NONE” if not applicable.
Enter “NONE” if not applicable.
Enter “NONE” if not applicable.
Enter "NONE" if not applicable.

SCREENING QUESTIONS

IMPORTANT NOTE: If you answer "Yes" to any of Screening Questions 1-3, you are not currently eligible to receive the COVID-19 vaccine at this time.
1. Have you had any COVID antibody treatments within the last 3 months? *
NOTE: If "yes" you are NOT eligible to receive the COVID-19 vaccination. You must wait 90 days after the antibody treatment to receive a COVID-19 vaccination.
2. Have you had COVID-19 in the last 21 days? *
NOTE: If "yes" you are NOT eligible to receive the COVID-19 vaccination at this time. You must be negative for COVID-19 for 21 days.
3. Are you a healthcare worker? *
4. Are you a Minden Medical Center Employee? *

SCREENING QUESTIONS CONTINUED:

5. Have you been vaccinated for COVID-19 in the past? *
6. Do you have any severe anaphylactic allergies (food, vaccine, medications, insect, etc.)? *
NOTE: Everyone will be under observation for 15 minutes after receiving the vaccine or 30 minutes if you have ever had an allergic reaction to anything.
7. I reviewed the EUA documentation regarding this vaccination. *
The Emergency Use Authorization documentation is linked above and can also be found here: https://www.modernatx.com/covid19vaccine-eua/eua-fact-sheet-recipients.pdf
8. I agree to have the second dose in 21 days. *

COVID-19 Vaccination Appointment:

Registration is currently open for COVID-19 vaccination appointments on September 25, 2021. If you are coming for your second dose on October 16, 2021, you do not need to re-register.
I meet the current COVID-19 vaccination criteria and I am willing to receive the COVID-19 vaccine. *