COVID-19 Vaccine Contact List

Currently individuals age 75 and older are eligible to receive vaccine from Cottage Health. Please use this form only if you are in this prioritized group.

The email address you provide on this form will be used to contact you when vaccine appointments open.

Invalid signups may cause delays for those eligible for vaccine. Vaccine supply is limited. IDs will be verified.

Due to current demand, it may take up to several weeks for you to be contacted when registration for a vaccination clinic is available.

Please note, if you opted out/unsubscribed from receiving Cottage Health emails in the past, we will be unable to contact you at the email address you unsubscribed. You may provide a different email address on this form to ensure quickest receipt of vaccine messages. If you need to use an email address you previously unsubscribed, email Write “Subscribe” in the subject line, and provide your name and email. This process may take up to a week to complete.