Request an Immunization Appointment

A staff member from our Immunization Clinic will be in touch with you within 1-2 business days to schedule your appointment.

Home Address
Immunizations requested
Please check all that apply. 
Immunization Clinic Services at Collinsville, Sand Springs and North Regional Health & Wellness Center have been temporarily suspended.

We will take reasonable precautions to prevent the loss, misuse or alteration of your personal information. However, data transmission over the internet is inherently insecure, and we cannot guarantee the security of data sent over the internet. If you do not wish to transmit your information electronically, you can call 918-595-4509 or 918-594-4709 to speak to an Immunization Clinic staff member.