Welcome to the Royal Progress Hospital
Vaccine Covid 19 Pre-Registration

Please read Terms & Conditions before completed the registration

Covid-19 Vaccine Pre-Registration for Children & Adults Form

Please fill out this form and our Customer Service will contact you immediately when vaccine is available.

About the Covid-19 Vaccine

You must know the right information about the COVID-19 vaccine. Vaccination provides far greater benefits than the side effects. Here are some facts about the benefits of the Covid-19 vaccine.

Vaccines Can Prevent Covid-19 Infecting Your Body
Vaccines Can Help Protect Your Surroundings
Vaccines Can Protect and Help Health Workers
With Vaccines, The Pandemic Can End Soon
Vaccines Can Protect Future Generations

The type of vaccine that available on pre registration:

Vaccines for Children (aged 6-11 years and 12-17 years)

Sinovac Vaccines
Pfizer Vaccines

Adult & Booster Vaccines (aged 18 years and over)

Sinovac Vaccines
Pfizer Vaccines
Moderna Vaccines
Sinopharm Vaccines
AstraZeneca Vaccines
Zifivax Vaccines

Terms & Conditions for Receiving Booster Vaccine

Indonesian Citizenship
Above 18 years old
The gap between the 2nd and 3rd shots of the vaccine is more than 3 months
Already have booster vaccine ticket that can be checked through PeduliLindungi App. Click here to see how to get booster vaccine tickets.
Type of booster vaccine given based on the availability of the vaccine that determined by the Ministry of Health

General Requirements

The Covid 19 vaccine can be done on Monday to Saturday (except national holidays and
holidays)
Prospective child vaccine participants must bring a letter of approval of parents / guardians. Click here to download the template of the child’s parent/guardian consent letter.
Potential participants who suffer from Comorbid Diseases , autoimmune, or patient in immunosupresant therapy must bring a certificate from the doctor
For the sake of maintaining health protocols, please bring your own stationery (to fill out the form)
Each patient can only sign up for one type of vaccine.
Not serving walk-in/go shows