DMC Childrens Header LogoPediatrics COVID-19 Vaccine Request

Thank you for trusting the DMC Children’s Hospital of Michigan in providing care for your child. If you would like to receive the Covid-19 vaccine for your child, please complete the following form. You will be notified immediately once appointments are available. We are currently accepting appointment requests at Children’s Hospital of Michigan Specialty Center – Detroit Immunization Station.

By submitting this form you agree to receive periodic health-related information and updates. We welcome your comments, questions, and suggestions. We cannot give you medical advice via e - mail. To discuss any medical symptoms or conditions contact your physician or other healthcare professional. In the case of emergency, call 911 or go to the nearest emergency room immediately. Information on this page is secure. We value your privacy.

The DMC and Children’s Hospital of Michigan are committed to ensuring the health and well-being of children across Metro Detroit, and supporting our families and children through the vaccination process.

As always, thank you for entrusting us with your care.