You have accessed the COVID-19 Vaccine Pre-Registration Form for the Lee County Government Health Department (LCGHD). Completing this form initiates the registration process; this does not complete the registration process, confirm eligibility, or act as a sign-up for the next county vaccine clinic. By completing and submitting this form, you are indicating your interest in being vaccinated by LCGHD and consent to contact from LCGHD staff by phone and/or email to verify eligibility and complete the registration process.
All individuals 16 years of age and above are now eligible to recieve their COVID-19 vaccination.
Individuals in the age ranges of 5 to 11 years and 12 to 15 years are eligible for vaccinations provided they meet verification requirements such as parent/guardian authorization, phone call verification, and proof of identification.
Individuals that complete this pre-registration form should expect to see a thank you page and submission receipt upon successful completion of this form. If your submission is successful, please do not call the LCGHD registration phone lines or submit multiple registration forms for a single individual – duplicate entries may incur additional processing time to verify information. A staff member will contact you to verify eligibility and complete your registration if you are eligible to be vaccinated under current guidelines.
Thank you in advance for your cooperation and patience as we move forward with vaccinating the Lee County community.