If you are a Webster resident interested in receiving the COVID-19 Vaccine, please compete this form so we can notify you when a clinic becomes available to you. These questions will help us determine in what phase you are eligible for the vaccine. As the vaccine becomes available, in accordance with the Commonwealth of Massachusetts' Phased COVID-19 Distribution Plan, enrollees will be contacted by the Board of Health and provided with the instructions on how to receive the vaccine. Residents that do not have the ability to access the internet are encouraged  to first ask for assistance from family members, caregivers or friends who will be able to go to webster-ma.gov and complete the form on their behalf.  If you are inquiring about several individuals, please fill out one form for each individual.  The entire enrollment process takes less than five minutes.

This form was created and is monitored by the Webster Health Department. Notifications will be sent by email.

The state is closely following a Vaccine Distribution Plan.  The vaccine is being distributed in order of priority identified in the plan.  We will use the information gathered in this form to provide you updates on where and when you can receive the vaccine.  More information on the COVID-19 vaccine, including vaccine phases, can be  found at www.mass.gov/vaccine.