Phase 1A - COVID Vaccine Request

During this first wave, the following groups have been identified as being at highest risk for contracting coronavirus therefore may receive vaccines first.

Paid or unpaid people serving in healthcare settings who have the potential for direct or indirect exposure to patients or infectious materials and are unable to work from home, including but not limited to:

•Clinical staff ( e.g. nurses, physicians, etc.)
•First responders (e.g. EMS staff, Paramedics)
•Public & private laboratory/ specimen collection workers
  • Adults aged 65 and older,  as well as their caregiver
 
If you are in the Phase 1A Category AND need to receive the vaccine from your local health department please complete the survey below. Only certain health departments currently have vaccine.  You will be asked which health department you prefer to be contacted by for your vaccine appointment. After you register here, YOU WILL BE CONTACTED BY EMAIL, TEXT OR PHONE for your appointment as the vaccine becomes available. Note*  Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.


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* 1. Please enter your contact information:

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* 2. Is your phone number...?

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* 3. Date of Birth

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* 4. Phase 1A  Group

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* 5. Only certain health departments currently have vaccine.  Please select which health department you prefer to be contacted by for your vaccine appointment:

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