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COVID-19 Vaccination Pre-Registration

To pre-register for a COVID-19 vaccination, please fill in the required questionnaire so that DC Health can gather information regarding your readiness for a COVID-19 vaccination. Once you have registered, DC Health will contact you when it is time for you to book your vaccination appointment. You will need to provide the following details:

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Demographic details

Such as race, ethnicity, gender, age

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Medical history

Current/past ailments and allergy information

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COVID-19 history

History of any COVID-19 infections, testing or vaccinations

Contact information

Your contact details

Take Questionnaire