Phase 1: El Dorado County COVID Vaccine Assessment for Partners and Providers
Please discuss the following questions the vaccination planning team at your agency. Survey responses will be used to by a multi-agency coordination group to equitably allocate COVID-19 vaccine in El Dorado County.
(Complete only one response per agency)
Which sector best describes your facility or entity?
Acute Health Care Provider
Skilled Nursing Facility
Assisted Living Facility
Long Term Care/Residential Care Facility
Paramedic/EMT Service Provider
Intermediate Care Facility
Home Health Care Provider
Community Health Workers
Public Health Field Staff
Primary Care Clinic, Rural Health Clinic, Correctional Facility Clinical Staff
Dental/Oral Health Clinic
Pharmacy Staff (in a setting other than listed above)
Have you registered your facility on the COVID Readi website?
Any agency that intends to administer the vaccine needs to register. Go to:
When the Redistribution Agreement is made available providers will also need to compete an agreement with Public Heath prior to distribution.
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This form was created inside of EDSO.