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The original item was published from 2/5/2021 12:55:58 PM to 2/10/2021 4:30:22 PM.

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Posted on: February 5, 2021

[ARCHIVED] Chickahominy Health District COVID-19 Vaccine Sign-Up Survey

Chickahominy Health District - COVID-19 Vaccine Inquiry Form

How can you register for the COVID-19 Coronavirus vaccine?

At this time those who are eligible for the COVID-19 vaccine under Phase 1a and Phase 1b can sign up in one of three ways.

  1. COVID-19 Vaccine Sign-Up Survey: Eligible individuals can complete the Chickahominy Health District’s COVID-19 online vaccine sign-up survey tool, which can be found here: https://forms.gle/fS8wcHMeBej1gMpA8.  If you previously completed the Virginia Department of Health’s “When Can I Get Vaccinated” online tool, then there is no need to register again.  
  2. Chickahominy Health District Hotline: If you prefer to speak to someone, you can call and sign-up over the phone by calling one of two dedicated numbers below.  The telephone number for the Chickahominy Health District's COVID-19 call center can be reached at (804) 365-3240.  
  3. Goochland County Hotline: Goochland County has a dedicated hotline mailbox to help residents Age 65+ and those who are unable to complete the online sign-up survey due to lack of technology access. Goochland's hotline can be reached at (804) 556-5828, residents will need to leave a message and a volunteer will call you back. 

The health departments vaccine supply is currently limited, and they are doing their best to serve you and your loved ones. After you register and vaccine is available, someone from the health department will contact you to schedule your vaccination appointment once it is your turn.

Have questions about the COVID-19 Vaccine? Check out the Virginia Department of Health’s FAQs at https://www.vdh.virginia.gov/covid-19-faq/vaccination/ or contact the Chickahominy Health District at chdvaccine@vdh.virginia.gov or call (804) 365-3240.

COVID-19 Vaccine Sign-Up Survey Tool