GLHS Covid-19 Vaccination Interest Form
Grand Lake Health System is planning for community COVID vaccinations. If you are interested in receiving the COVID vaccination, please complete and submit your information below. GLHS will contact you to schedule.

Walk-ins are not accepted. We will add vaccination clinic dates as we receive additional doses of the vaccine from the state.

Currently, we are scheduling those included in the Ohio Department of Health's Vaccine Plan in categories 1B, 1C, 1D, 1E, 2B and 2C. To see if you qualify, please visit: https://coronavirus.ohio.gov/wps/portal/gov/covid-19/covid-19-vaccination-program 
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