Tidelands Health Vaccine Request Form for 70 Years and Older

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70 or older? Use the form below to request a COVID-19 vaccination.

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COVID-19 Vaccine Request

Tidelands Health is administering the COVID-19 vaccine to individuals ages 70 and older.

To request an appointment to receive the first and second doses of the vaccine, please complete the form below.

COVID-19 Vaccine Request Form

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