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Southwest District Health
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COVID-19 Vaccine Notification Mobile
COVID-19 Vaccine Notification Mobile
Mobile Freindly COVID-19 Vaccine Update Form
Vaccine supply continues to be extremely limited in Southwest Idaho. We are working with our partners across our local healthcare delivery system to distribute the vaccine as quickly as possible, working through the priority populations identified by the State of Idaho. We are mandated to follow these priority groups as closely as possible. Southwest District Health will contact you when vaccine is available for your priority group. Please watch our social media, our local media, and our
vaccine webpage
for updates and more information.
County You Reside In
County:
Select A County
Adams
Canyon
Gem
Owyhee
Payette
Washington
Your Name
Occupation
Business Name
Phone Number
What is an email address we can use to contact you?
Email Address:
Verify Email Address:
What priority level do you feel you qualify under?
Priority Level
Select An Option
Hospital staff essential for care of COVID-19 patients and maintaining hospital capacity
Outpatient clinic staff essential for care of COVID-19 patients and maintaining hospital capacity
Long-term care facility staff
Home care providers for adults 65 years of age and older or high-risk individuals
Emergency Medical Services (EMS)
Outpatient and inpatient medical staff not already included above who are unable to telework
Dentists, dental hygienists and dental assistants
Pharmacists, pharmacy technicians and pharmacy aides
Public health and emergency management response workers who are unable to telework
Long-term care facility residents
First responders (not EMS) and safety (fire/police/protective services/community support)
Pre-K–12 school staff and teachers and daycare [childcare] workers
Correctional and detention facility staff (other than medical)
Food processing workers
Grocery and convenience store workers
Idaho National Guard (other than medical)
Other essential workers not already included and unable to telework
Adults 75 years or older
Adults 65-74 years old
People 64 years and younger with medical conditions that increase risk of severe COVID-19
Healthy member of the general population
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