COVID-19 Vaccination Support
If you have trouble negotiating the COVID-19 vaccine websites because of computer, visual or other challenges and need help scheduling an appointment, please fill out this form and a CBST Vaccine Team volunteer will be in touch.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone number
*
Your answer
Are you a CBST member?
*
Yes
No
What is your geographic area?
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5 Boroughs
New York State
New Jersey
Florida
Other:
A copy of your responses will be emailed to the address you provided.
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