The Phase 1a vaccination group includes daycare providers, teachers, and those that are age 65 and older.  Please complete the following survey to add your name to the vaccination wait list. You will then be notified when an upcoming clinic is available near you. Only those that live and/or work in Mille Lacs County will be notified of an upcoming clinic.

This survey is for individuals 18 years of age and older at this time who live or work in Mille Lacs County. Please only register once. Mille Lacs County Public Health will contact you when there is a COVID-19 vaccination clinic available for you.

Thank you,
Mille Lacs County Community Health Services

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* 1. First and Last Name:

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* 2. This survey is for individuals 18 years of age and older who live or work in Mille Lacs County. Please provide your date of birth.

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* 3. Email Address:

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* 4. Phone Number:

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* 5. Do you work in healthcare, education, or daycare or are you over the age of 65?

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* 6. Do you work or live in Mille Lacs County?

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* 7. Please provide your zipcode:

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