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COVID19 Vaccine Info Signup

  1. Instructions
    Please fill out the form below to be placed on the notification list for COVID19 vaccinations that become available through the Fitchburg Board of Health.
  2. This is not a reservation of a vaccination or the only source for vaccinations. Submitting this form will allow the Board of Health to notify you when they have vaccine appointments available to be booked. This does not stop you from or assist with seeking vaccinations through other channels such as your Primary Care doctor or private clinics such as CVS.
  3. Qualifying Medical Conditions*
    Individuals may qualify for an earlier phase of vaccination if they have any of the following medical conditions: Cancer, Chronic kidney disease, COPD (chronic obstructive pulmonary disease), Down Syndrome, Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies, Immunocompromised state (weakened immune system) from solid organ transplant, Obesity and severe obesity (body mass index [BMI] of 30 kg/m2 or higher), Pregnancy, Sickle cell disease, Smoking, Type 2 diabetes mellitus, or Asthma (moderate-to-severe),
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