ATTN: If you are 60 years of age or older

If you are 60 years of age or older or 16 years of age or older with a qualifying condition and a Kentucky resident, you are now eligible to pre-register for the COVID-19 vaccine. The number of vaccines we receive from the state is a limited weekly allocation. Vaccinations will be scheduled and administered based on the order we receive them. Approximate number of business days until you receive a call: 2 Days. Once registered, it will be very important that you read the IMPORTANT INFORMATION on the "Thank You" page and answer the phone when we call (Caller ID will register with a 606-43x-xxxx number).


Please fill out the secure form below.

First Name: *
Last Name: *
Date of Birth: * Month:


Phone: *
County where you reside: *
Example: Pike, Floyd, Johnson, etc...
I certify that I am a Kentucky resident: * Yes, I certify