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COVID-19 Vaccine Waiting List
Please complete the information below to be added to the wait list. Please note that we can not guarantee an appointment. We will be following San Joaquin Public Health guidelines for appointments.
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First Name
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Last Name
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Email
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Phone Number
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Phase 1 A:
Healthcare worker (you will be asked for proof)
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Phase 1 B: 65+
Age 65 or older (you will be asked to show Identification for date of birth)
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Phase 1 B additional categories: Select one of the following:
Healthcare Worker
Education
Childcare
Emergency Services
Food & Agriculture
Transportation & Logistics
Industrial, Commercial, Residential, and sheltering facilities/services
Critical Manufacturing
Homeless Individuals
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Beginning March 15, 2021: healthcare providers may use their clinical judgement to vaccinate individuals aged 16-64 who are deemed to be at the very highest risk to get very sick from COVID-19 because they have the following severe health conditions:
Cancer
Chronic Kidney Disease, Stage 4 or above
Chronic Pulmonary Disease, oxygen dependent
Down Syndrome
Solid organ transplant, leading to a weakened immune system
Pregnancy
Sickle cell disease
Heart Conditions, such as heart failure, coronary artery disease, or cardiomyopathies (but NOT hypertension)
Severe obesity (Body Mass Index >= 40 kg/m2)
Type 2 diabetes mellitus (with hemoglobin A1c level greater than 7.5%)
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Other:
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