COVID-19 Vaccine Scheduling for Children Ages 5 to 11
This online form is not to be used in case of an emergency. If you are experiencing a medical emergency, please call 911.
Schedule at a Cooper location through MyCooper
for more scheduling options, including your pediatrician's office and other Cooper locations
If your child has a MyCooper account (Cooper medical record) and you have a proxy* account.
If your child has a MyCooper account (Cooper medical record) and you do not have a proxy* account but would like to set one up. (You can self-sign up online and request proxy access from your MyCooper account. This may take up to one business day.)
For additional assistance with MyCooper, please contact the MyCooper support team at 1.844.369.2667.
Schedule at the Camden County Health Hub
with or without a MyCooper account
If neither you nor your child has a MyCooper account (Cooper medical record).
If your child has a MyCooper account (Cooper medical record) but you do not want proxy* access.
You will need to complete registration/demographic information at the time of the appointment. To reduce the time in line at our location, please enter accurate information. If you do not have separate home and mobile phone numbers, please enter your primary number in both fields.
Please bring your child’s insurance card with you to your vaccine appointment. Your insurance may be charged, but you will not receive a bill for any co-pays. If you do not have insurance, the vaccine will be provided at no cost to you.
* Proxy access allows you to view your child’s vaccine record as well as the rest of their medical record.
This online form is not to be used in case of an emergency. If you are experiencing a medical emergency, please call 911. If your
symptoms are urgent, please call 800.8.COOPER to speak with a Patient Access Navigator.
(!) PLEASE PROVIDE AN ACCURATE PHONE NUMBER. A Patient Access Navigator will call you within two (2) business days to pre-register you for your appointment.
If you cannot be reached by phone prior to the date you selected, your appointment will be CANCELLED.
Please call 800.8.COOPER (800.826.6737) directly to speak with a Patient Access Navigator for assistance with scheduling your
appointment if any of the following apply:
If you have been seen by the selected provider in the past three years.
Your appointment is accident-related and would qualify for workers comp or auto insurance.
You need an appointment at the Advanced Care Center or Ripa Center.
You would like to reschedule your appointment.
Cooper University Healthcare accepts insurance from a variety of health plans. Please check with your health plan to confirm that our services are
included. Our providers and hospitals may participate in some, but not all, products offered by a health plan. Coverage limitations are dependent
on individual group contract. For questions about insurance coverage, place contact your insurance carrier directly. Regardless of coverage level,
it is best to bring a form of payment in the event that a copayment is required.
If you are not a New Jersey resident and:
You are covered by Blue Cross Blue Shield, do not select the HORIZON BCBS option. Please use the BLUE CROSS BLUE SHIELD option.
You are covered by Medicaid, please use the OUT OF STATE MCD option.