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McLean County Health Department

Information Sign Up for Individuals over 65 and Frontline Workers - Phase 1B

This sign up may be used to register the following to receive information regarding vaccine clinics: 1) inidividuals age 65 and older 2) workers or organziations that fall into Phase 1B.

Note: By filling this out, you are signing up for information about upcoming clinics but will need to register for a slot when you receive the dates and times of clinics.

Required information: name, name of organization (if applicable), phone, email, and number of staff (if applicable) that qualify for Tier 1B.

Your information will only be used for Covid vaccine clinic information. Only you and Health Department staff can see that you have signed up and the information you provide.

If you have questions, please email [email protected] and someone will get back to you. Please allow 2-3 days for a response as Health Department staff are running the vaccination clinics.

Created by:   McLean Health
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