Warren County Health District COVID-19 Vaccination Interest List
Warren County Health District is collecting information from Warren County residents that fall into the current Phase 1A and Phase 1B who would like to be put on the interest list to get the COVID-19 vaccine. Completing this survey does not mean you are scheduled to get the vaccine. If you complete the survey and are eligible to get vaccinated, we will contact you with further instructions when more vaccine becomes available.

Phase 1A will include those below who choose to be vaccinated:

Healthcare workers and personnel who are routinely involved in the care of COVID-19 patients.
Residents and staff in nursing homes.
Residents and staff in assisted living facilities.
Patients and staff at state psychiatric hospitals.
People with developmental disabilities and those with mental health disorders, including substance use disorders, who live in group homes, residential facilities, or centers, and staff at those locations.
Residents and staff at our two state-run homes for Ohio veterans.
EMS responders

Phase 1B consists of adults over the age of 65 and people with severe, congenital, developmental or early-onset medical disorders. Adults over the age of 65 will be prioritized beginning with people who are 80 years of age and older.

If you are a K-12 school staff member, please don't fill out the survey. We will be working with your school to schedule a vaccine clinic.

Please be patient and only fill out the survey one time. As more vaccine is available we will contact you with options for vaccination.

If you do not live in Warren County, please contact your local health department. If you do not know how to contact your local health department, please go to the following website: https://odh.ohio.gov/wps/portal/gov/odh/find-local-health-districts

FILLING OUT THIS FORM DOES NOT MEAN THAT YOU ARE REGISTERED TO RECEIVE A COVID-19 VACCINE.
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