COVID-19 Vaccine Registration Brighton
IEP Urgent Care has been approved as a COVID-19 vaccination site. If you are interested in receiving the vaccine, please fill out this form and we will notify you as soon as it is available. More information on Michigan Covid-19 Vaccine Prioritization Guidance can be found by copying and pasting the below link in your browser:
Date of Birth
Cell Phone Number
VACCINE PRIORITIZATION SCHEDULE
Which prioritization group describes you?
1A Group A
1A Group B
1B Group A
1B Group B
1B Group C
1C Group A
1C Group B
Phase 2 - anyone 16 and older
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Independent Emergency Physicians.