Vaccination Waiting List Registration
If you are interested in receiving a Covid 19 vaccine and are a resident of Kentucky, please complete the registration form below. Due to limited supply of vaccine allocated from the state, it may take some time before you receive a call to schedule an appointment to receive the vaccine. We appreciate your patience as we work through this process.
To be eligible for vaccination, you must meet the age requirement of 18 or older.
If you selected "other", please list below