McDowell County, NC COVID-19 Vaccine Pre-Registration
Please complete the form below to pre-register for a COVID-19 vaccination from the McDowell County Health Department. At this time, there are limitations to both vaccine supply & what groups of people are eligible to be vaccinated. The McDowell County Health Department and McDowell Emergency Services will be following the NCDHHS tiers & guidelines posted at https://covid19.ncdhhs.gov/vaccines. By submitting this form, you will be added to the contact list for the McDowell County Health Department and Emergency Services.

We will contact you to schedule your appointment when we have vaccine available & you meet the eligibility criteria for vaccination. Please know that you are a priority for us and we will aggressively work to get you vaccinated as soon as possible. Our team continues to work around the clock in response to this pandemic.
First Name *
Last Name *
Address *
City *
Zip Code *
Email Address
Phone Number *
Date of Birth (This will determine your eligibility based upon current vaccination phase.) *
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Race/Ethnicity *
Required
Are you a healthcare provider? *
Place of Employment: (If not employed enter N/A) *
Submit
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