1. Please review the latest updates and vaccination priorities and parameters at
  2. Please complete the REGISTRATION FORM first.
  3. If you check one or more of the vulnerable conditions, please complete the SCREENING FORM second.
  4. A logistics coordinator will get back to you to validate your condition and collect supporting documentation for the clinical team.
  5. Once you qualify to receive the vaccine a logistics coordinator will CONFIRM your appointment.
  6. You MUST have an appointment to receive a vaccine and all supporting documentation must be provided prior to vaccination.  An upload link is provided for your convenience or you can bring a printed copy with you to your appointment.
  7. If you did not select one or more qualifying conditions you will be added to the waiting list and our team will contact you as the Governor continues to open the vaccine up to different demographic groups.
Drive Through

Please click the registration form below to schedule a drive through appointment at the hospital lobby pavilion.

[NEXForms id=”146″]
[NEXForms id=”148″]

Employer Sponsored

Please click the registration form below to schedule a mobile vaccination appointment at an employer sponsored event.

[NEXForms id=”149″]

Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap. You can also send us a message through our Facebook page. Please do not include personal health information in your communications through social media.

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