COVID-19 Vaccine Standby List

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Please fill out the form below to signup for the COVID-19 Vaccine Standby List and we will notify you when a dose is available. You must be able to be on-site at the vaccine clinic within 30 minutes. The information will not be shared with any other entity and will only be used for the expressed purpose of vaccination.

This standby list is only if there are extra vaccine doses or leftover doses at the end of the day. You still need to register at to guarantee you a vaccination. You must meet the Indiana State Department of Health (IDOH) Eligibility Requirements which can be found at