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COVID-19 Vaccine Waiting List Sign-Up

**If you signed up through one of the previous links, you do not need to sign up again. You are already on our waiting list.**

The Central Michigan District Health Department is asking individuals and businesses who fall into the vaccine priority groups listed below to sign up for our appointment waiting list. More detailed information on the current priority groups can be found here.

You MUST LIVE OR WORK in Arenac, Clare, Gladwin, Isabella, Osceola or Roscommon Counties to fill out this form.
 
**Vaccine supply is very limited.  Once you are registered on the waiting list by filling out this form, CMDHD will contact you when it's time to schedule an appointment.  This may take several weeks to a few months.**

We ask that you answer the questions as best as you can. Thank you for your time. 
1. Please select what priority group best describes your vaccine eligibility. *This question is required.
2. What is your primary county of residence, work, OR the county your facility/organization is located in? *This question is required.