Homebound Vaccination Requests
The State of Rhode Island has authorized Cumberland EMS to continue providing homebound vaccinations to residents with medically limiting conditions that would prevent them from being able to attend a vaccination clinic. Please use this form to request a homebound vaccination.
* Required
Name
*
Your answer
Home Address (must be a Cumberland resident)
*
Your answer
Best Contact Number
*
Your answer
Medically Limiting Condition(s)
*
Your answer
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