Welcome to CDMS Registration

Your browser does not support iFrames

Department of Health
V8.4.0 10/06/2026 1:30 PM

Instructions

Please DO NOT use the browser's navigation buttons. Please use the navigation buttons within the application.

Placeholder

Your Session will expire in 0 minutes

Your Session will expire in 5 minutes

Welcome to CDMS Kiosk Registration V8.4.0 10/06/2026 1:30 PM

Please click on the REGISTER NOW button to start your registration for

Carmel High School Flu Clinic 10/22/26

Carmel High School
30 Fair St
Carmel, NY 10512

October 22, 2026

Prescreen
Confirm

Prescreen
Confirm

0%

Screening Questions

On the day of the appointment, will the vaccine recipient be less than 6 months of age?

	Yes
	No
	Unknown

On the day of the appointment, will the vaccine recipient be at least 6 months old and less than 36 months old?

	Yes
	No
	Unknown

On the day of the appointment, will the vaccine recipient be at least 6 months old and less than 9 years old?

	Yes
	No
	Unknown

On the day of your appointment, will it have been at least 28 days since your last flu vaccine?

	Yes
	No
	Unknown

Are you currently pregnant, think you might be pregnant, or considering becoming pregnant in the next month (30 days)?

	Yes
	No
	Unknown

Are you feeling sick today with or without fever?

	Yes
	No
	Unknown

Have you ever had Guillain-Barre Syndrome?

	Yes
	No
	Unknown

Guillain-Barre syndrome is a serious condition of the nervous system.

Have you ever had a severe reaction after receiving any vaccine or do you have any severe, life-threatening allergies?

	Yes
	No
	Unknown

This does not include minor skin reactions.

On the day of the appointment, will the vaccine recipient be 65 years of age or older?

	Yes
	No
	Unknown

Have you read or had read to you the Vaccine Information Statement for the Influenza (Flu) Vaccine (Inactivated or Recombinant) (Click to View)

	Yes
	No
	Unknown

Do you understand the risks and benefits of the vaccine and consent to receiving the Influenza (Flu) Vaccine (Inactivated or Recombinant)?

	Yes
	No
	Unknown

If you are 19 or older: Do you consent to release your immunization record to NYSIIS where it will be available to your healthcare provider?

	Yes
	No
	Unknown

NYSIIS is the New York State system that makes your vaccine related records available to your healthcare provider.

Instructions

An answer must be selected before you can proceed.

You are Almost Done !

After reviewing your answer to the screening questions,

You are Almost Done !

After reviewing your answers to the screening questions,

I will attend the Event.
I acknowledge that I have read guidance and plan to continue with the registration.

I will NOT attend the Event
and do not plan to continue with the registration.

Note: "Please select at least one option to proceed."

New York State Logo

Disclaimer: The NY.gov website is providing instructions on how to use your browser to assist you in reading the NY.gov website in languages other than English. This is not a NY.gov service, but general instructions on how to use a third-party provider (in this case, Chrome, Safari, Edge, or Firefox) to translate ny.gov web pages into other languages. These browsers cannot translate all types of documents and may not provide an exact translation. Anyone relying on information obtained from their browser does so at his or her own risk. The State of New York does not make any promises, assurances, or guarantees as to the accuracy of the translations provided. The State of New York, its officers, employees, and/or agents shall not be liable for damages or losses of any kind arising out of, or in connection with, the use or performance of such information, including but not limited to, damages or losses caused by reliance upon the accuracy of any such information, or damages incurred from the viewing, distributing, or copying of such materials.

Agencies
App Directory
Counties
Events
Programs
Services