FCHD - COVID-19 Vaccine for TIER 1A Providers FORM (please review KY Tiers)
THIS IS NOT AN AUTOMATIC APPOINTMENT!!!
This information remains confidential. Make sure to provide accurate information, as our staff will need to follow-up for additional details. Responses are monitored seven days a week. FCHD will maintain a list of essential workers to be vaccinated as soon as possible through Phase 1a, and additional phases. THIS IS NOT AN APPOINTMENT!!
✅Long-term care facilities are being vaccinated by way of a federal contract with CVS & Walgreens.
✅Our hospital has received a shipment to vaccinate their employees.
Provider Status *
Please Provide Exact Job Title *
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