FULTON COUNTY OHIO COVID-19 Vaccine Registration Form
Those individuals that have already called the Sr Center or the Fulton County Health Department to register please DO NOT fill out this form!!!

If you are in Phase 1A or Phase 1B, please complete the form below to register for COVID-19 vaccination in Fulton County, Ohio. THIS IS ONLY A REGISTRATION.

Fulton County Senior Center, Fulton County Health Center (hospital) and Fulton County Health Department are working together. Personnel from one of these agencies will be contacting individuals by phone or email to schedule their vaccine appointment. Please, double check your contact information, as it is vitally important to ensure we can reach you with your appointment day and time.

Ongoing Phase: 1A
*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.

Current Phase: 1B
*People aged 65 and older
*People living with severe congenital, developmental, or early-onset medical conditions
~ Individuals with Phase 1B eligible disabilities and disorders: The Fulton County Board of DD will reach out to individuals who meet eligibility requirements to coordinate vaccinations for the first phase beginning Jan. 25. The Board of DD will work with the health department on scheduling. Only those individuals identified and scheduled by the local developmental disabilities board will be eligible for vaccination beginning Jan. 25. Additional guidance is forthcoming regarding those individuals who will become eligible Feb. 15.

PLEASE NOTE: Adults who work in schools (K-12)
If you work for a Fulton County school, please register with your schools superintendent. Each County is responsible for vaccinating school employees in their specific county.
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