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16 or older requesting Stand-By Status may pre-register to receive the COVID-19 Vaccine at Pikeville Medical Center.

Vaccines will be administered on the Pikeville Medical Center Campus

If you are 16 or older living in Kentucky you are now eligible to pre-register for the COVID-19 vaccine as a stand-by. The number of vaccines we receive from the state is a limited weekly allocation. Approximate number of business days until you receive a call: 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:

Day:

Year:
Phone: *
County where you reside: *
Example: Pike, Floyd, Johnson, etc...
I certify that I am a Kentucky resident: * Yes, I certify
Approximate number of business days until you receive a call: Days

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