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COVID-19 Forms

Cornerstone Family Healthcare looks forward to your COVID-19 vaccination appointment. Please complete the following forms prior to your appointment.

1. COVID-19 Consent Form

Please print and bring this form to your appointment:

https://coronavirus.health.ny.gov/system/files/documents/2021/02/vaccine-consent-form-2.12.21-0917.pdf

 2. New York State COVID-19 Vaccine Form

Please complete the following online form prior to your appointment:

https://forms.ny.gov/s3/vaccine

Once completed, an email will be sent to you to verify completion. Please bring a copy of that email, or be ready to show us a copy of the email on your phone.

Thank you. We look forward to seeing tomorrow at your assigned time.

I feel like I'm not alone in anything that I'm going through. I always have a listening ear.

Josh F. VIEW MORE

The WIC Program is like family. They are very personable.

Sandra P. VIEW MORE

My best experience with Cornerstone has been the eye doctor and her staff.

Sam E. VIEW MORE

Because of Cornerstone's dedicated care team, we were able to lower my blood sugar.

Henry B. VIEW MORE

There was no judgement. Each caseworker gave exemplary service with genuinely caring concern.

Andrew L. VIEW MORE

My thoughts and feelings are respected in any situation.

Roberta G. VIEW MORE

The Dental Department is an outstanding team. Thank you for everything.

Timothy K. VIEW MORE

I travel from Dutchess County because of the service.

Emily T. VIEW MORE

I got everything that I needed at the time I needed it."

Kenny A. VIEW MORE

I like Cornerstone because all doctors are located at the same center and it is very convenient for me."

Maryse C. VIEW MORE

I always feel cared for when I’m seen."

Sarah H. VIEW MORE
COVID-19 VACCINE UPDATE

If you'd like to be notified when a COVID-19 vaccine appointment is available at Cornerstone, please fill out the form below.

For a list of local vaccination resources in Orange, Rockland, Sullivan and Broome Counties, please visit: Resource Center.

To check vaccine availability at New York State-run vaccination sites, visit the NYS Website or call the NYS Hotline: 1-833-697-4829.