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Remove from Vaccine Interest Form

If you have received your COVID-19 vaccine from the Livingston County Health Department (LCHD), another health department, or a health system (like Michigan Medicine, IHA, etc.) and no longer require a COVID-19 vaccine appointment, please fill out this form to be removed from LCHD's list. 

By completing this form, you will no longer receive COVID-19 vaccination appointment emails/calls or vaccine correspondence from LCHD.

Please complete this form in its entirety and answer all questions on each page. To proceed to the next page, click the 'Next >' button at the bottom of this page.