COVID-19 Vaccine Update

Madison Medical Affiliates & Ascension are working together to vaccinate our patients & our community at several sites across SE Wisconsin. Please check our website for updates on eligibility & availability of the COVID-19 Vaccine.

  • Eligibility: Effective April 5th, the Wisconsin Department of Health Services (DHS) expanded vaccine eligibility to EVERYONE 16 and older. 
  • Availability: Madison Medical Affiliates has a small quantity of the Moderna COVID-19 vaccine. Click here to schedule your appointment online. 
  • *IMPORTANT*: The Moderna COVID-19 vaccine requires a 28 day booster shot. Do NOT schedule your 1st dose if you are unable to return for your 2nd dose. 

Click Here to Schedule Your COVID-19 Vaccine

COVID-19 Vaccine Update Close

Patient Forms

In an effort to continually provide the highest level of care, we are always looking for ways to improve our processes and service. Having the appropriate paperwork filled out prior to your visit helps us streamline your patient experience. Following are the most common patient forms available for download.

Moderna COVID Vaccine - Consent Form

Moderna COVID Vaccine - FDA Fact Sheet

Influenza Vaccine - Consent Form

Influenza Vaccine - Vaccine Information Statement

Medical History – New Patient

Medical History – Existing Patient

Medical History – Dermatology (TIP: Taking High Quality Photos for Virtual Care)