This form is for individuals who wish to receive a COVID-19 vaccine at the:
620 42nd St, Oakland, CA 94609
Only individuals 16 years or older will be vaccinated.
You need to be older than 16 to register
We are unable to schedule a vaccine for you at this time due to your potential risk for spreading COVID-19. Please contact your primary care provider to discuss vaccine options available to you.
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For more information, please visit our website at: