Press Releases

JEFFERSON COUNTY COVID-19 VACCINE SELF-REGISTRATION FORM

Use the following form to request vaccines for yourself or your organization as a whole. Once submitted, we will review your information and make a determination on which phase of the vaccine distribution is most appropriate for your situation.

If you are determined to be within a phase currently being provided the vaccine, you will be contacted by someone from the Jefferson County Department of Health who will provide additional information on how to schedule that vaccination appointment.

Please Click Here To Obtain the the COVID-19 Self-Registration Form