This registration is not for appointments.

We are collecting information so we can contact you as vaccine becomes available. Limited quantities of vaccine just began circulating in Ohio. As the State gets a better handle on incoming quantities, we will be working to further develop our distribution tiers.

Please fill out the information in this survey and we will contact you based on your responses. You can register for yourself, another person (a family member/dependent etc.) or on behalf of your company/employer. If you need to register for both yourself and another person, please fill out the survey once for each person you are registering for.

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