SWRHA COVID-19 Vaccine Registration Form
  • COVID-19 Vaccine Third (3rd) Dose Registration Form

  • Date of Birth*
     - -
  • Format: (868) 000-0000.
  • Please arrive no more than 10 minutes before your scheduled appointment time. All locations are opened from 8 a.m.
  • SAPA Appointments*
  • Couva DHF Appointments*
  • Siparia DHF Appointments*
  • La Romaine Health Centre Appointments*
  • Princes Town DHF Appointments*
  • Ste Madeleine Health Centre Appointments*
  • Marabella Health Centre Appointments*
  • Freeport Health Centre Appointments*
  • Point Fortin Health Centre Appointments*
  • South Oropouche Health Centre Appointments*
  • Cedros Health Centre Appointments*
  • Chatham Health Centre Appointments*
  • Erin Health Centre Appointments*
  • Fyzabad Health Centre Appointments*
  • Granville Health Centre Appointments*
  • Guapo Health Centre Appointments*
  • Icacos Health Centre Appointments*
  • La Brea Health Centre Appointments*
  • Palo Seco Health Centre Appointments*
  • Penal Health Centre Appointments*
  • Penal Rock Road Health Centre Appointments*
  • Claxton Bay Health Centre Appointments*
  • Debe Health Centre Appointments*
  • Gasparillo Health Centre Appointments*
  • Indian Walk Health Centre Appointments*
  • Lengua Health Centre Appointments*
  • Moruga Health Centre Appointments*
  • Pleasantville Health Centre Appointments*
  • Rochard Douglas Health Centre Appointments*
  • Roy Joseph Health Centre Appointments*
  • Williamsville Health Centre Appointments*
  • Flanagin Town Health Centre Appointments*
  • Gran Couva Health Centre Appointments*
  • Tabaquite Health Centre Appointments*
  • Todd's Road Health Centre Appointments*
  • We're sorry, you do not meet the requirements for vaccination at this time. You must be 18 years and over and not pregnant. If you need further assistance, please call 87-SWRHA.

  • Penal Powergen Appointments*
  • Should be Empty: