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COVID-19 Vaccine

The Utah Department of Health  Immunization Program is working closely with the Centers for Disease Control and Prevention in supplying COVID-19 vaccine.  The goal is to have enough COVID-19 vaccine for all people.  The initial roll-out of the vaccine will be in limited supply and vaccination efforts may focus on those at highest risk for contracting COVID-19 or developing serious illness from COVID-19.  

As information is changing quickly, the Immunization Program will continue to update this page to assist in keeping healthcare providers and the public informed of COVID-19 vaccine updates. 

COVID-19 Provider Interest

Facilities wishing to administer the COVID-19 Vaccine should review the below items.

If your facility is able to meet the requirements and checklist, providers should complete the below survey. A PDF of the questions can be found before entering the survey.

Please note: Not all providers will be eligible to administer the vaccine due to patent population, storage and supply. Additional resources will be made available to providers who do not qualify.

COVID-19 Provider Forms

COVID-19 Provider enrollment and miscellaneous forms.

These forms will update and additional forms will be made available as information is quickly changing.