District 34: COVID - 19 Vaccine Request
Thank you for your interest in receiving the COVID 19 vaccine! Eligible constituents of Senate District 34, if you need assistance in setting up an appointment to receive the COVID 19 vaccine, please fill out the form below and my team will get back to you as soon as appointments become available.

If you have any questions, you can contact our office at 718-822-2049 or email constituentservices@senatorbiaggi.com

With gratitude,
NYS Senator Alessandra Biaggi
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Email *
Name of vaccine recipient *
Full Address (including zip code) *
Phone Number where you can be reached *
Date of Birth *
Are you available to get the vaccine at any time? Please list your time limitations. *
How are you eligible for the vaccine? *
Have you already received the first dose of the Covid-19 Vaccine? *
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