Essential Frontline Workers Vaccine Request

Phase 1B Essential Frontline Workers: This form is to be completed by the person responsible for scheduling COVID-19 vaccinations for an agency or organization in Calhoun County. The Calhoun County Public Health Department is currently working through our Phase 1b Group A & B and when able will move into Phase 1b Group C, we will contact your point person to schedule the vaccine clinic. Your patience is appreciated.

For specific prioritized categories of Phase 1B frontline workers click here

Phase 1B Essential Frontline Workers Vaccine Request