Follow the steps below to verify your information:

If you have already completed a DOH Alachua COVID-19 Vaccine Request Form:

You are in our system and do not have to resubmit. Please review your record to verify that your information is correct and to provide additional information that will help in the scheduling process.

Update Your Record

If you have already scheduled or completed a vaccination appointment with DOH Alachua:

Please review your record to verify that your information is correct and to provide additional information that will help in the second dose scheduling process.

Update Your Record

If you have NOT completed a DOH Alachua COVID-19 Vaccine Request Form:

Anyone, regardless of age, can register to our waitlist for a COVID-19 vaccine. As new executive orders are signed, invitations for appointments are updated.

Please follow this link to the registration form and complete all required fields. State Surgeon General Scott A. Rivkees issued a Public Health Advisory on January 21, 2021 prioritizing vaccines for residents and seasonal residents of Florida in conjunction with Executive Order 21-79. To receive the COVID-19 vaccine in Florida, you must bring proof of residency. Please see this residency notice for the requirements needed to prove residency.

Governor Ron DeSantis has signed Executive Order 21-79:

Section 1. Effective March 29, 2021, Executive Order 20-315, as amended by Executive Orders 21-46, 21-47, 21-62, and 21-77, is expanded to include the following: During this phase of vaccine administration, all providers administering any COVID-19 vaccine shall only vaccinate the following populations:

  - Long term care facilities staff and residents;

  - Persons 40 years of age and older;

  - Health care personnel with direct patient contact;

Section 2. Effective April 5, 2021, all Floridians shall be eligible to receive any COVID-19 vaccine as prescribed by the Food and Drug Administration.

If you do not fall under any of the aforementioned groups, you will be denied an appointment.

If you are deemed extremely vulnerable or a physician, please see the below notice:

Prior to requesting an appointment, a signed copy of the COVID-19 Determination of Extreme Vulnerability Form must be completed.

You are REQUIRED to provide this form at check in on the day of your appointment. We will accept only this form; a doctor's note will not be sufficient.

To avoid delays or cancellation we urge you to NOT schedule an appointment until you have the form completed by your physician in your hands.

The approved form is available for you: DOH EO-21-62. Form must be signed by your private physician only. PA's, ARNP's, APRN's signatures are NOT accepted. Unless a patient is an established Alachua County Health Department patient, the ACHD will not be completing this form.

Register and/or update your record by using the link below. Be sure to follow the instructions given.

Register

If you wish to opt-out of our waiting list, please complete the form below.

Opt-Out Request

Per Florida State Surgeon General, Scott Rivkees, Public Health Advisory, the prioritization of COVID-19 vaccines is to be intended for Floridians. Recipients of the vaccines must fall under one of the categories below in conjunction with Gov DeSantis EO 21-79.

-a resident of the State of Florida able to demonstrate residency consistent with the criteria set forth in 381.986(5)(b), Fla. Stat.; or

-an individual present in Florida for the purpose of providing health care services involving direct contact with patients.”

Please visit our registration form.

If you are not comfortable using the form, please call the DOH Alachua COVID-19 hotline at 352-334-8810 7 days a week, 8:00am to midnight.