Register for the COVID-19 Vaccine
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The Covid-19 Vaccine is currently available at no cost to any individual in Phase 1A who wants to receive it. At this time, availability of the vaccine is limited. Private healthcare providers have offered to assist in administering the vaccine to their patients, as soon as they receive their supplies. It is not mandated that anyone receive the vaccine.
All phases are based upon vaccine availability. At this time, manufacturers have sole control of when vaccines ordered will be processed and shipped.
If you are in the Phase 1A Category AND need to receive the vaccine from your local health department please complete the registration form below. After you register here, YOU WILL BE CONTACTED BY E-MAIL, TEXT, or PHONE for your appointment time. Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.
Phase 1 A Vaccination Registration Form
**Each individual must register for the vaccine. A health care provider’s office manager cannot register for the entire office. All staff members must register individually.
If you are in the Phase 1B Category AND need to receive the vaccine from your local health department please complete the survey below. Only certain health departments currently have vaccine. After you register here, YOU WILL BE CONTACTED BY E-MAIL, TEXT, or PHONE for your appointment. Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.
Phase 1B Vaccination Registration Form
If you are in the Phase 1C Category AND need to receive the vaccine from your local health department please complete the survey below. Only certain health departments currently have vaccine. After you register here, YOU WILL BE CONTACTED BY E-MAIL, TEXT, or PHONE for your appointment. Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.
Phase 1C Vaccination Registration Form
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. After you register here, YOU WILL BE CONTACTED BY E-MAIL, TEXT, or PHONE for your appointment. Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.
Phase 2 Vaccination Registration Form
If you are in the Phase 3 Category AND need to receive the vaccine from your local health department please complete the survey below. Only certain health departments currently have vaccine. After you register here, YOU WILL BE CONTACTED BY E-MAIL, TEXT, or PHONE for your appointment. Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.
Phase 3 Vaccination Registration Form
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. After you register here, YOU WILL BE CONTACTED BY E-MAIL, TEXT, or PHONE for your appointment. Any email or text received for an appointment for a vaccine is meant solely for the person to whom it was sent.
Phase 4 Vaccination Registration Form