Grundy County Health Department will use the information you provide to notify you of COVID-19 vaccine clinics. When you complete this form, you are giving permission for GCHD to contact you by phone or email.
Completion of this form does not ensure a vaccination or prioritization for any person. This information will be used for notification and planning purposes only.
Prioritization of vaccinations are determined by the Centers for Disease Control, and Missouri Department of Health and Senior Services.