COVID-19 Vaccine Consent Form Posted: Monday, February 22, 2021, 10:52 PMUpdated: Wednesday, February 24, 2021, 3:47 PM Goodall-Witcher Healthcare continues to schedule patients for their second vaccination as a part of Phase 1B of vaccine distribution. To be administered the COVID-19 vaccination once we receive a new supply, patients need to present the COVID-19 VACCINE CONSENT form at the time of vaccination. Please print out this form, fill it out, and bring it with you to your appointment.