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COVID-19 Vaccine Signup

COVID-19 Vaccine Sign Up

Please use the form to submit your request to register for a COVID-19 Vaccine through the Ford County Public Health Department. 

PLEASE NOTE: YOU CAN ONLY RECEIVE THE VACCINE THROUGH FCPHD IF YOU LIVE IN FORD COUNTY OR IF YOU ARE EMPLOYED IN FORD COUNTY, ILLINOIS. 

If not, you will have to contact your local health department.  Pharmacies are now offering the COVID-19 vaccine.  Click here to find a vaccine location near you.  

Your request to sign up for a Covid-19 Vaccine was successfully submitted to the Ford County Public Health Department. You will be contacted when a vaccine is available for you. 






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