COVID-19 Vaccination Sign-Up

The Central Michigan District Health Department is now making appointments for individuals who are 16 years of age and older for their FIRST DOSE COVID-19 vaccine appointments.

**This form is for FIRST DOSE appointments only, if you need a second dose appointment please call your local CMDHD branch office.**

You MUST LIVE, WORK or ATTEND SCHOOL in Arenac, Clare, Gladwin, Isabella, Osceola or Roscommon Counties to fill out this form.

Please answer all questions as truthfully as possible. Thank you for your time.

1. Please select what age group you are in. *This question is required.

2. Which county would you like to make an appointment in? *This question is required.Please note: 16 and 17 year-olds must schedule an appointment in select locations in Clare and Isabella County as Pfizer is the only approved vaccine for this age group.