COVID - 19 Phase 2 Vaccination Planning

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To administer the COVID-19 vaccine, the Town of Lexington is following the Mass Department of Public Health (DPH) vaccine distribution timeline found at mass.gov/vaccine. DPH will only provide vaccine to vaccinate one priority group at a time.

As the Town continues to ramp up mass vaccination planning and resources, the latest information provided by the Massachusetts Department of Public Health indicates that there will not be significant vaccine available to the Town of Lexington for the duration of the month of February.

To streamline possible future clinics and to alert you, the Town of Lexington is gathering information from Lexington residents interested in receiving the vaccine.

****Please fill out the form below. Filling out this form does not guarantee placement, nor are you obliged to attend a Town of Lexington clinic when they become available. The form is only intended to gather information so we are able to alert you of upcoming clinics (by priority group).

Please note:
- Depending on the priority group, and because supply is limited, it may be weeks before you hear from us. We appreciate your patience.
- When your priority group is being scheduled, please visit mass.gov/vaccine for details
- Verification of your priority group will be required prior to attending any clinic.
- You can always read about Lexington COVID-19 vaccine response at LexingtonMA.gov/vaccine

View Phases and Priority Group Details: https://bit.ly/3poXzHS

**Information collected by the Town of Lexington on this forms falls under the Town of Lexington's online and privacy policies and will not be shared to 3rd parties. Read more at LexingtonMA.gov/PrivacyPolicy

First Name *

Last Name *

Your Email Address

Phone Number *

Please use the following format 555-555-5555

Which priority group do you fall within in the DPH Vaccination Phases? https://bit.ly/2MPRshb *

Individuals 75+

Adults 65+ and individuals with 2+ co-morbid conditions.

Other workers: teacher, grocery workers, restaurant workers, sanitation, public works, transportation

Individuals with one co-morbid condition

Clear selection

Please list your profession

Are you interested in getting a COVID-19 vaccine through a Town sponsored site if it becomes available? *

Yes

Maybe

I will receive the vaccine somewhere else (work, primary care office, etc.)

Clear selection

Submit

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