COVID-19 Vaccination Campaign: Facility Barriers & Best Practices

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* 1. Please select your facility from the drop-down below:

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* 2. Please identify what barriers you may be experiencing with your patients regarding vaccine hesitancy:

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* 3. Would you like the Network to contact you directly to see if we can work together to further engagement?

Yes

N/A; we are not experiencing barriers/hesitancy with vaccination among our patients

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* 4. If your facility is doing well with patient vaccination, please share any best practices you have employed to increase interest and actual shots-in-arms:

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* 5. Your Name:

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* 6. Your Email Address:

Thank you for your time, feedback, and commitment to helping further protect your patients from COVID-19 and its variants.

*If you noted above you would like to be contacted for further assistance, someone from the Network will reach out directly.