Phase 2 - COVID Vaccine Request

The following people are considered eligible for vaccination in Phase 2 
 
  • Adults between the ages of 40 to 64

  • Individuals in congregate settings, such as homeless shelters, group homes, dormitories

  • Individuals in jails, prisons, detention centers

  • Any others living in congregate settings

 

 
If you are in the Phase 2 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 2  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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