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Family Alert - Vaccine Resource Information

December 23, 2020: As People Inc. is preparing for the vaccine, we wanted to share some resource information regarding the vaccines (Pfizer-BioNTech and Moderna) that may be available for people receiving supports at People Inc., along with the Informed Consent, which is for both vaccines.

Please find the following COVID-19 resource documents for your review:

  • Pfizer: Pfizer Fact Sheet For Recipients And Caregivers Emergency Use Authorization (EUA) Of The Pfizer-BioNTech COVID-19 Vaccine To Prevent Coronavirus Disease 2019 (COVID-19) In Individuals 16 Years Of Age And Older
  • Moderna: Moderna Fact Sheet For Recipients And Caregivers Emergency Use Authorization (EUA) Of The Moderna COVID-19 Vaccine To Prevent Coronavirus Disease 2019 (COVID-19) In Individuals 18 Years Of Age and Older

In addition to the above, please also find the following COVID-19 Consent Form:

Please Note: The above Consent Form will be used for both the Pfizer or Moderna vaccine for your loved one.

Instructions for completing the Informed Consent:

1. Please complete Page 1 of the Consent Form with your loved one’s personal information (e.g., Recipients Name, DOB, address, etc.) and Parent/Guardian/Surrogate information.

ConsentFormImage

2. Please leave the Screening Questionnaire BLANK as that will be completed on the day your loved one receives the vaccine.

3. Please sign and return the Consent Form, in the self-addressed envelope that you received in the mail, or return to: People Inc., 280 Spindrift Drive, Williamsville NY 14221. Attention: QI Department

As a reminder, our dedicated email address and phone line is available to share COVID-19 related concerns at COVIDconcern@people-inc.org or 716.817.7445.

Western New York 1219 North Forest Road | P.O. Box 9033 | Williamsville, New York 14231 | Phone: 716.817.7400 | Toll Free NY 1.888.7PEOPLE | Fax: 716.634.3889

Rochester 1860 Buffalo Road | Rochester, NY 14624 | Phone 585.441.9300 | Fax 585.441.9398

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