Welcome Hospital 3D Mammography Clinic Pharmacy DME Supplies Foundation Public Notices Employment Contact Patient Portal Call the COVID-19 Vaccine Waiting List Hotline and leave a message including your ‍name, date of birth and phone number. Your call will be returned within 72 hours to confirm your request. You will remain on our Waiting List until we have vaccines available and call you to schedule your vaccination in accordance with the Texas Department of State Health Services' guidelines. In an effort to save time, please review, print and complete the following three (3) registration forms prior to arriving at your appointment. These forms will also be available at your appointment. BMHD Registration Form Immtrac Registry Consent Formulario de Consentimiento ImmTrac Registro COVID-19 Consent Form COVID-19 Formulario de Consentimiento Please review the following. Moderna Fact Sheet for Recipients and Caregivers Moderna Hoja Informativa Para Receptores Y Cuidadores Pfizer Fact Sheet for Recipients and Caregivers Pfizer Hoja Informativa Para Receptores Y Cuidadores Johnson & Johnson Fact Sheet for Recipients and Caregivers Johnson & Johnson Hoja Informativa Para Receptores Y Cuidadores V-Safe Facts Facto de V-Safe Site created and powered by ARTIFEX42 Copyright © 2021 Ballinger Memorial Hospital. All Rights Reserved. Home Medication Refill Patient Portal