COVID-19 Vaccine Registration
If you are experiencing an emergency, please call 911.
Whether you are a U.S. citizen or not, we are all in this together. If you would like a vaccine, you will be able to get one according to what vaccine phase you are in. Receiving the COVID-19 vaccine will not count against you in any public charge determinations.
Like other routine vaccinations, you will need to share some personal information with your vaccine provider when you get a COVID-19 vaccine. This information will only be used for public health purposes. It may include your name, date of birth, and contact information. Your information will remain protected.
If you are a resident of Colorado and would like to sign up to receive the COVID-19 vaccine, please fill out the form below or call our Meeker Family Health Clinic at (970) 878-4014 to register for the vaccine.