COVID-19 Vaccine: Pre-Registration Form

Please review the important information below before proceeding to the form. Acknowledge that you have read this information by clicking the checkbox at the end of this page.

Vaccine Prioritization

All adults in the county may pre-register, but the pace of vaccinations is limited by supply from the state. You will receive a link to the appointment sign-up site when vaccines are available.

Phases we are currently vaccinating:

Phase 1A: December - January

• Health Care Workers
• Public Health
• Nursing Home
• First Responders
• Fire/EMS
• Police
• Sheriff
• Judiciary
• Corrections

Phase 1B: January - March

• Adults age 75+
• Congregate Settings
  • Assisted Living Facility
  • Group Homes
  • Homeless Shelters
• Continuity of Government
• Education
• Child Care

Fill out the form below to receive information regarding COVID-19 vaccine distribution. This form should only be submitted for individuals that are 16 years of age and older. Following the submission of this form, you will be presented with your projected phase based on your answers to the questions below. 

Please Note: An email confirming your pre-registration will be sent within one business day.

• The Department of Health will use this information to send future email communication to you regarding vaccine scheduling and updates.  
• You will have the ability to unsubscribe by clicking on the "unsubscribe" link found at the bottom of future email communications. 
• What about children 15 and younger? Neither one of the approved vaccines has been approved for children 15 and younger. Vaccine trials are underway and further guidance will be available when a vaccine is available for this age group.