Appointment Request

Appointment Request form


Step 1 of 2

Step 2 of 2


A COVID Vaccination Request is currently only available for those residence of Grant County. Please provide address verification.

Vertical Tabs

Appointment Documents

Save time! 
Please fill out this form and bring it with you to your appointment.

COVID-19 Vaccine Patient Consent 

Phase Finder can help you with eligibility questions and they will send you
a confirmation message that you can show to a vaccine provider to demonstrate
your eligibility.

Phase Finder - Am I Eligible?


Moses Lake Community Health Center is dedicated to serving migrant and seasonal farm workers, the uninsured, underinsured and others who have difficulty accessing care.  READ MORE...

This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).


Moses Lake Community Health Center

605 Coolidge Street
     Moses Lake, WA 98837

 (509) 765-0674
After Hours Nurse Advice Line
    (509) 765-0674

Cancellation Line
    (509) 766-8975

Quincy Community Health Center

1450 1st Avenue SW
     Quincy, WA 98848

 (509) 787-6423
After Hours Nurse Advice Line
(509) 787-6423

Ephrata Community Dental Clinic

204 12th Ave SW
     Ephrata, WA 98823
(509) 754-6199

Social Icons