Thank you for your interest in receiving the COVID-19 vaccine.
Only the following people are currently eligible to receive the COVID-19 vaccine at CHoR and should complete this form:
- CHoR patients ages 12+
- Parents/caregivers of CHoR patients
How to enroll
- We are actively adding vaccine clinics to the schedule (as supply allows). Complete the form below and we’ll call you when a new vaccine clinic opens.
- Parents/caregivers and children 12+ can register together on one form.
- We are vaccinating up to two parents/caregivers per CHoR patient.
- Note: Children under 12 are not yet eligible to receive the COVID-19 vaccine.