COVID Vaccination Forms
Lafene Health Center continues to offer COVID-19 vaccine opportunities for students, faculty and staff. Lafene is offering the one-dose Johnson & Johnson (no longer available after 8/17/2022) and the two-dose Moderna vaccines as available. Appointments are required and can be made on the myLafene+ patient portal or by calling Lafene Health Center at 785-532-6544.
EUA - Moderna
EUA - Pfizer
EUA - Johnson & Johnson (Janssen) (no longer available after 8/17/2022)
COVID-19 Vaccination Consent
Notice of Privacy Practices - read this before signing the Treatment Agreement / NPP below
Treatment Agreement / Notice of Privacy Practices
Additional Dose Attestation