Phase 1A & 1B Vaccine Pre-Registration Interest Form (Formulario de interés)

Delta County is currently focusing efforts on vaccinating people age 70+ in accordance with state health department guidelines. This effort is being led by not only the Delta County Health Department but also Delta County Memorial Hospital and other providers. 

Currently, there is a very high interest and demand for the COVID-19 vaccine in Delta County.  However, vaccine allocation is limited and providers are only scheduling appointments for eligible individuals after vaccine doses are confirmed. 

Due to high demand and to help us with our planning efforts, we are asking that all individuals in Phase 1A and 1B, pre-register to get on the COVID-19 waitlist for the vaccine. After pre-registering, the list will be available to vaccine providers in Delta County who will contact you to schedule an appointment for your vaccine. 

If you are in Phase 1A or 1B (see chart below for prioritization and where you fit), click here to pre-register.

If you are in Phase 2 or 3, please stay tuned for additional information on vaccine distribution timelines.  

Link: https://westreg.readyop.com/fs/4cBl/55eb  Spanish form:  https://westreg.readyop.com/fs/4cDw/6987