Vaccine Registration and Scheduling

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Vaccine Registration and Scheduling
Now scheduling COVID-19 vaccination for the general public.

Notification List Signup

A safe and effective COVID-19 vaccine plays a critical role in providing protection against the virus, preventing illness and saving lives. Vaccine is currently in limited supply and health officials are using a phased approach.

This simple form allows you to register to receive vaccine. Please add your name and contact information below and the Lincoln-Lancaster County Health Department will notify you when vaccine is available.

 

Please Enter Your Information
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All minor children 18 years of age and younger must be accompanied by a parent, court-appointed guardian or an authorized agent.

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Health Information





 


  • First Name Required
  • Last Name Required
  • Date of Birth Required
  • Gender Required
  • Race Required
  • Ethnicity Required
  • Address Required
  • City Required
  • Zip code Required
  • Preferred Phone Required