COVID-19 Vaccine Registration - Unvaccinated Eligible Workers
Unvaccinated workers who are currently eligible for vaccination should use this form to submit your information to the Public Health Department. Your information will be used to connect you with local vaccinators who are able to accommodate you.
Note: Submitting information using this form DOES NOT place you on a "waitlist" or guarantee vaccination. The Public Health Department will only use this information in an attempt to connect you with entities able to vaccinate you.