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Jackson County Health Department
Jackson County Health Department
COVID-19 Vaccine Survey
Jackson County Health Department COVID-19 Vaccine Survey
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                Are you interested in receiving the COVID-19 Vaccine?

    Based on availability, and guidance from the Missouri Department of Health and Human Services (MO DHSS) and the Center for Disease Control (CDC), the Jackson County Health Department will be providing the COVID-19 vaccine based on a pre-determined tier system. Individuals will be identified to receive the vaccine based on risk status and occupation. 

    Once the vaccine is made available for your tier, the Jackson County Health Department will use your information from the survey below to contact you with further instructions on how to schedule an appointment to receive your vaccination. 

    Per the guidance provided by the CDC, COVID-19 vaccinations will not be provided to those under the age 16. 

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    Pick a Date
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    You MUST provide a phone number in order to be alerted to vaccine availability.
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    You MUST provide an email to be alerted to vaccine availability via email. If you do not have one, click next below
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    • Hospital
    • Physicians Office
    • Behavioral Health
    • Dialysis Center
    • Outpatient Healthcare
    • Other Healthcare
    • School District-Nurse
    • EMS
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    • crematory operators
    • embalmers
    • emergency management (federal, state, or local)
    • emergency services sector
    • first responders (federal, state, or local)
    • morticians
    • public health (federal, state, or local)
    • public works
    • social service agencies
    • undertakers
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    You MUST provide an email to be alerted to vaccine availability via email. If you do not have one, click next below
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    You MUST provide an email to be alerted to vaccine availability via email. If you do not have one, click next below
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