Saratoga County is working to deliver vaccine to residents in accordance with New York State requirements. The purpose of this form is to gather information from residents interested in receiving COVID-19 vaccination from Saratoga County Public Health Services. New York State operated clinics, federally qualified health centers, ambulatory centers and pharmacies also provide vaccination. Click here for information.

All information entered on this form will be kept confidential. Providing your information for this interest list does not reserve or guarantee a vaccination. Unless you are updating contact information or notifying the county of membership in additional eligibility categories, it is not necessary to enter your information more than once. You will be contacted when a vaccination appointment is available through Saratoga County. Proof of both identity and eligibility will be required at the time of vaccination.

* Required field

With the understanding that I will have to supply proof of my eligibility, I hereby certify under penalty of law that I am an adult and I reside in New York State.


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