CDS members;  a message from Franklin County Public Health:  If your organization is on the State of Ohio Prioritization List, please complete this form to be placed on our vaccination scheduling list. As we receive more doses, we will work with you to inform you of the location, time and method of registration for your staff. At this time, we do not have exact dates and timeframes because it all hinges on when and how much vaccine we receive from the state.

Once more information becomes available you will be notified so please be patient.   Please do not submit your information more than once.

Members located in Franklin County should fill out the form here:  https://form.jotform.com/203505280309044

Members located in Madison County should fill out the form here: http://covidphase1a.madisonph.org/

Members in Delaware County should fill out the form here: https://forms.office.com/Pages/ResponsePage.aspx?id=zH9a8he9D0GDdXbkuflUDQzYemf-nWJFqJQiZp8-uXpURExJTUJPVFgyUkMzUE4xR1dVUDgzMlAyTy4u

Members located in Fairfield County should fill out the form here: https://www.myfdh.org/pdf/Closed-POD-Vaccine-Intake-Form.pdf

City of Columbus has reached their allocation for distribution.  Please sign up for your appropriate county.

The contact list of all Ohio local health departments can be found here: 

https://odh.ohio.gov/wps/portal/gov/odh/find-local-health-districts