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Hospital: 325.597.2901

Clinic Appointments: 325.597.2114

Outpatient Services: 325.792.3509

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COVID-19 Vaccine Requests

Please use the form below to submit a request to receive the Covid-19 Vaccine. Please know that all requests are subject to approval.

Please fill out the form below with all of your contact information. We will get in touch with you to determine if you are a good candidate to receive early vaccination.

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Date of Birth

Last 4 Digits of Social Security Number

HOME
PHYSICIANS
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BRADY MEDICAL CLINIC
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24 HOUR ER
CARDIOPULMONARY REHAB
COUMADIN CLINIC
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LOCATION

2008 Nine Rd.

Brady, TX 78625

325.597.2901

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