The Laurel Health Centers are working diligently to distribute COVID-19 vaccines to our community as we receive doses. We are currently vaccinating those in phase 1A, including those who are 65+ and people with high-risk underlying health conditions. Please be advised that due to the current limited supply of COVID-19 vaccines, we have a waitlist. If you are in phase 1A, please complete the following questions to register for Laurel Health’s COVID-19 vaccine distribution list, and we will be in touch with you as soon as possible. Please be sure to include the best phone number to reach you below.

Note: You do not have to be an LHC patient to sign up for a COVID-19 vaccine appointment.

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* 1. Name (Last Name, First Name) and Phone Number

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* 2. Date of Birth

Date

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* 3. Preferred Location (To expediate scheduling, please choose the three Laurel Health Center locations that are the most convenient for you, ranked 1-3 by preference)

Example: You select Wellsboro LHC as your first choice, Mansfield LHC as your second choice, and Blossburg LHC as your third choice. If Wellsboro did not currently have appointments available but Mansfield and Blossburg did, we would schedule you at Mansfield because it was your second choice.

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* 4. Are you 65 or older?

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* 5. Are you a healthcare worker?

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* 6. Do you live in an assisted living facility?

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* 7. Do you have any of the following high-risk conditions?

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