Skip to content Skip to main navigation Skip to footer

If your organization is in the State of Ohio Prioritization List, please complete this form to be placed on our vaccination scheduling list.  We will work with you as we continue to receive doses from the Ohio Department of Health.  We do not have an ETA on when doses will be available.  Please only submit this form if you are in the Phase 1A list and live or work in Warren County.  All others will not be kept until they match a Phase.  You will need to submit a new form at that time.

Back to top
Call Now Button
ALL OF THE VACCINE THAT WE HAVE AND WILL BE RECEIVING ARE BEING ASSIGNED TO AN APPOINTMENT BASED ON OUR CURRENT VACCINATION INTEREST LIST. NO ADDITIONAL VACCINE IS AVAILABLE THROUGH OUR OFFICE AND THE AMOUNT WE WILL RECEIVE IN THE FUTURE IS UNKNOWN. YOU CAN ALSO CALL OUR VACCINATION LINE AT (513) 695-SHOT (7468). PLEASE VISIT HTTPS://VACCINE.CORONAVIRUS.OHIO.GOV/ TO FIND OTHER VACCINE PROVIDERS IN WARREN COUNTY.
This is default text for notification bar