Brookline COVID-19 Vaccination Planning
As you may have heard on the news, on February 17th Governor Baker announced he is prioritizing vaccine supplies for the mass vaccination sites, such as Gillette & Fenway.

Local municipalities have been told not to expect more vaccine – with the exception of low-income senior housing, and potentially for homebound residents.
 
To streamline possible future clinics and to alert you, the Health Department is gathering information from Brookline 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 Health Department clinic. The form is only intended so we are able to alert you of upcoming clinics (by priority group).

Please note:
- Depending on the priority group, it may be weeks before you hear from us. We appreciate your patience.
- For when your priority group is being scheduled, please visit mass.gov/vaccine
- Verification of your priority group will be required prior to any clinic.
- You can always read about Brookline COVID-19 response at brooklinecovid19.com/

View Phases and Priority Group Details here https://tinyurl.com/y2bbjqxv

Information collected by the Health Department on this form falls under the Town of Brookline's online and privacy policies and will not be shared with 3rd parties. It is only intended to alert submitters of upcoming local vaccination clinics and related information. Read the policy here: www.brooklinema.gov/439/Privacy

*If you have filled out the previous version of the form, your information has been recorded and we will contact you when we have more information regarding the vaccine distribution to your priority group.

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First Name *
Last Name *
Email *
Phone Number *
Which priority group do you fall within in the DPH Vaccination Phases? https://bit.ly/2MPRshb *
Please list your profession
Any additional information you would like to share?
Submit
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