Coronavirus Vaccination Notification List
We are keeping a list of patients that have requested to be vaccinated at our facility when the vaccines are available. We do not have any specifics at the time being but will reach out to you when it is available for administration. If you wish to be notified, please sign up below. Must be 16 or above to register.
Name (Last name, First name)
Date of Birth - (required for AI generated rollout date)
Location of Residence (City, Ward) - (required for AI generated rollout date)
Please specify if you are in any of these categories.
Medical healthcare worker
Age 65 years and above
Chronic Conditions (Diseases of the Heart, Lung, Liver, Kidney, Blood, Immune system or Diabetes.)
Send me a copy of my responses.
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