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Register now so you will be contacted when you are eligible to receive the vaccine!Vaccination preregistration is open now! The information collected using this form will allow vaccinating health care partners to contact you to schedule an appointment when vaccine is available for your phase/group eligibility. You will be contacted to schedule a vaccine appointment via the phone or email information you provide on the form. Please read all information on the form before entering your information.
Preregsiter in English at
www.cognitoforms.com/LaneCountyCOVID/COVID19VaccinePreregistration
and in Spanish at
www.cognitoforms.com/LaneCountyCOVID/COVID19VaccinePreregistrationSpanish
#CovidVaccine
Image: Graphic of person with band-aid and clipboard.