COVID-19 Vaccine Request Form - Click Here
Click here for additional COVID-19 preparedness information.
COVID-19 Vaccine Request Form
If you wish to receive a COVID-19 vaccine, please complete this form to opt-in to be notified when you are eligible.
Click here to access the COVID-19 Vaccine request form.
For more information about the COVID-19 Vaccine and the distribution plan, please visit our FAQ, or visit CDC.gov.
