Forms for Download

COVID-19 Vaccine Consent and Information

· COVID 19 Vaccine Intake Fillable Consent Form (PDF)

· COVID 19 Vaccine Responsible Party Form (PDF)

Please return the above signed consent forms in one of the following options:

1. Drop-off or mail in to:
Greek American Rehabilitation & Care Centre
C/O Nursing IP
220 N. First Street
Wheeling IL, 60090

2. Fax back to: 1(847) 459-4956

If you would like to learn more, visit Omnicare COVID-19 Vaccine Resource.