Get the Shot


The Village of Nyack is partnering with Refuah Health to host a pop-up clinic for those who are 50 or older, essential workers and those with qualifying comorbidities on March 25, 2021 at the Nyack Senior Center, 90 Depew Ave, Nyack, NY.  Refuah Health will be administering the Moderna vaccine, and the second dose will be scheduled approximately 4 weeks later. 

Print out the Refuah Health Patient Information Form  YOU MUST PROVIDE Identification and/or documentation proving your eligibility when submitting the paperwork.  

Over 12 million New Yorkers are now eligible for the vaccine. Eligible groups include doctors, nurses and health care workers, people age 50 and over, first responders, teachers, public transit workers, grocery store workers, public safety workers and New Yorkers with certain comorbidities and underlying conditions.

FDA fact sheets for recipients and caregivers on each vaccine are available: Pfizer, Moderna and Janssen/Johnson & Johnson.

If you are interested in receiving the vaccine at the Nyack pop-up clinic:

  1. Print the registration form - click here for the form

  2. Drop the form and appropriate ID and paperwork to Village Hall 9 - 5pm; or scan to or fax to 845-358-1480

 A member of the vaccine staff will contact you to schedule an appointment. Capacity is limited, so please register your interest as soon as possible. Nyack Seniors may call the Village of Nyack Administrators office from 8:30 - 3pm 845-358-3581 if they need help filling out the form. The form is also available by stopping at Village Hall, Monday to Friday, 9am to 5pm. 

Requirements for participating in the pop-up clinic:

•    You will need to bring your driver's license or other form of government-issued identification proving your date
      of birth, along with documentation proving eligibility if under age 50.
•    You will need to bring your insurance or Medicare card.
•    You will be asked to complete a Vaccine Consent Form. 

The COVID-19 vaccine pop-up clinic in Nyack will be based on appointments only. If you do not have an appointment, you will NOT be able to receive the vaccine. Filling out the registration form DOES NOT guarantee you an appointment. Capacity is limited for this pop-up clinic. You will only be contacted if given an appointment. 

Please help us get the word out to our seniors. If you know someone age 50 or older who would like to receive the vaccine and has not been able to secure an appointment, have them fill out this form. 

*Filling out the registration form or calling DOES NOT guarantee you an appointment!