School Physicals/Vaccination Clinic
Pre-Registration Form
Location:
5301 Broadway
West New York, New Jersey 07093
Date:
Sunday, August 6, 2023
Time:
8:30 AM to 5:00 PM
Phone Number:
201-210-0200
Please bring with you to the appointment:
School Physical Form
Vaccine Record
List of any medications the child(ren) is taking