If your organization is in the State of Ohio Prioritization List, please complete this form to be placed on our vaccination scheduling list. As we receive more doses, we will work with you to inform you of the location, time and method of registration for your staff. At this time, we do not have exact dates and timeframes because it all hinges on when and how much vaccine we receive from the state. Once more information becomes available, you will be notified so please be patient. Please do not submit your information more than once.
If your facility is located in the City of Columbus please complete the information form on the Columbus Public Health website at https://redcap.columbus.gov/surveys/?s=W4YR9K8NDD.