COVID Vaccination Forms

Lafene Health Center continues to offer COVID-19 vaccine opportunities for students, faculty and staff. Appointments are required and can be made on the myLAFENE+ portal or by calling Lafene Health Center at 785-532-6544.

EUA - Moderna
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