Online VAMS Enrollment

(for Eligible Individuals)

A doctor administering the vaccine to a patient's arm.

Please Note:

This form is optional and is only for registering with the Vaccine Administration Management System (VAMS). VAMS will verify your registration and then follow up with important scheduling information.

You do not need to register with VAMS if you have other options for getting the vaccine (i.e. - through your current medical provider).

Form Instructions

Fill out this simple form to register with the Vaccine Administration Management System (VAMS). You will need to enter your full name, date of birth, eligible occupation (including “retired”), zip code and email address. The information you enter will only be used for purposes of scheduling your vaccination, and will be kept private.

Once registered, VAMS will email you to guide you through the appointment process for receiving the COVID-19 vaccine.

At this time, ONLY people eligible under Phase 1a or who are age 75 and over may register here. Please only fill out this form if you are eligible to receive the vaccine.

* - Required Field