Covid-19 Vaccine Interest List
Sign up to get notified about the Covid-19 vaccine information.
- This form is for information purposes only, fill out this form will NOT give you an appointment.
- Please fill out the entire form- email address will be require and will be the preferred method of contact.
- Please be patient, we are working to vaccinate everyone as soon as possible and when vaccine becomes available.
- Please fill out the form below.
Current Phases: Phase 1A and 1B
- 1A- Long term care facilities, assisted living facilities, health care personnel
- 1B- First responders, anyone 70 and over, K-12 school personnel