Phase 4 - COVID Vaccine Request

The following people are considered eligible for vaccination in Phase 
 
  • Everyone residing in Georgia for whom the vaccine is recommended, who was not included in any of the previous phases.


  • Children, once the vaccine is approved for pediatric use.



If you are in the Phase 4 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 4  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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