Lafene Health Center

COVID Vaccination Forms

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 PDF File
Notice of Privacy Practices PDF File - read this before signing the Treatment Agreement / NPP below
Treatment Agreement / Notice of Privacy Practices PDF File
Additional Dose AttestationPDF File