As more vaccine becomes available, additional time slots will be emailed to those on our waiting list.
Please Note: You do not need to complete the form below again if you’ve already signed up to be on the waitlist.
Due to short supply, we are currently on a waitlist for vaccine administration. Please complete this form below to be added to our waitlist & sign up to receive the COVID-19 vaccine. When vaccine becomes available we will reach out to you via email with a link to sign up for an appointment time for vaccine administration. If you are a facility with a group of more than 10 people please click here to register for an onsite clinic.