Pacific County Health & Human Services- COVID Vaccine Information Sign Up
Please complete this form if you are interested in receiving direct communications (via email) from the Pacific County Health Dept. with updates on COVID 19 vaccine planning including information about priority groups to receive the vaccine and information on when and how to schedule an appointment (once eligible). Please note- currently vaccines are limited to only those in the 1a priority group (healthcare workers, long term care residents or staff, and emergency medical responders). As new priority groups open up, we will send you updates that include newly eligible priority populations. Please call us at M-F 8:00-4:00 at 360-875-9407 or 360-642-9407 with any questions.
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Do you have any underlying medical conditions?
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Do you work or volunteer in any of the following fields?
If not listed above, please list your occupation here.
Once eligible, do you plan to take the vaccine?
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