• COVID-19 Vaccine Pre-Registration

    Thank you for your interest in receiving the COVID-19 vaccine. This pre-registration is only for people who have not received a dose of the COVID-19 vaccine. If you have received a dose of the COVID-19 vaccine already, please exit this registration and connect with the facility that vaccinated you to schedule your second dose or call our office to see how we can help at 715-536-0307. By administering the COVID-19 vaccine, we will improve the health and safety of our communities as we continue to move through this pandemic. LCHD will follow state eligibility guidelines to schedule clients. Pre-registering will allow us to notify you of vaccine appointment availability after we have received the vaccine.
  •  -  -
    Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform