COVID-19 Vaccine Request For Information Form Submitted

You have requested to be notified when MRMC has public COVID-19 vaccinations available.

This is a contact request form, not an order form. Filling out this form DOES NOT guarantee that you will receive a COVID-19 vaccination from MRMC, and it DOES NOT mean that you have to receive a COVID-19 vaccination from MRMC or any other health organization. Again, this is simply a request for information meaning we will attempt to alert you by email or text when the vaccine is available to the general public.