Receive Information Regarding COVID-19 Vaccine
This link will sign you up to receive information from Portage County Health District when we are able to begin providing COVID-19 vaccinations to the designated priority groups. If you do not have an email address please visit www.portagehealth.net for updated information.

This does not register you to receive vaccine. It registers you to receive emailed information when vaccine will be available according to the priorities designated by Governor DeWine and the Ohio Department of Health.

If you are a K-12 School Personnel, please contact your school administration for information on your school’s vaccination plan.
Sign in to Google to save your progress. Learn more
Email *
Full Name
County
Affiliation
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy