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Crozer Health COVID-19 Vaccination Distribution Information

Updated: January 21, 2021

As a leading provider of health care services, Crozer Health is working to ensure the vaccine is provided in a way that is equitable and efficient, following the Pennsylvania Department of Health (DOH)’s COVID-19 Interim Vaccination Plan.

We are currently in Phase 1A of this plan. We have been, and will continue to be, in compliance with the PA DOH mandate that a minimum of 10 percent of available vaccine be administered to individuals not affiliated with Crozer Health.

If you do qualify for Phase 1A, complete the web form at the bottom of this page. If and when we can vaccinate you, we will contact you at the email address that you provide. Please do not complete multiple forms and do not email to check the status of your request. Completing this form DOES NOT guarantee that you will receive the vaccine from Crozer Health. Continue to monitor the Chester County Health Department website for additional vaccination information.

  • For individuals who fall in the 1B category, please follow this link to the Chester County COVD-19 Vaccine Interest Survey page to sign up to receive more information and notifications of when the vaccine is available for 1B recipients. Chester County is partnering with Delaware County to administer vaccines to this group of recipients

We appreciate your patience as we venture into this exciting new initiative. We are very excited to be a COVID-19 vaccine provider to help our communities in this fight against COVID-19. 

Pennsylvania is Currently in Phase 1A of Distributing the COVID-19 Vaccine

This information was pulled from the Pennsylvania Department of Health website on  1/19/2021. Pleased be advised that information continues to evolve. For the most up to date phase please visit their site:  https://www.health.pa.gov/topics/disease/coronavirus/Pages/Vaccine.aspx

 

Vaccines for 1A Category:

We will continue to provide vaccine to 1A category individuals dependent on the following:

  • COVID-19 Vaccine Availability
  • Resource Availability: In order to safely administer the vaccine, Crozer Health must have available personnel and COVID-mandated space for inoculation.

We DO NOT OFFER WALK-IN VACCINATIONS under any circumstances.

Once an individual receives their first vaccine at Crozer Health, they will be obligated to return to us for a second dose.

Please, do not come to Crozer Health without a prescheduled appointment. We will not vaccinate anyone without an appointment.

1A Category Enrollment:

Questions:

Use the form below to apply for vaccination if you meet the definition of 1A Phase recipient as defined by the PA DOH COVID-19 Vaccination Plan.

Questions about the vaccine, potential side effects, its efficacy, or the Emergency Use Authorization can be addressed by visiting the PA DOH website.

Enrollment for 1B Category as defined by the Pennsylvania Department of Health:

Do not complete the form below if you fall in this category. Instead, please follow this link to the Chester County COVD-19 Vaccine Interest Survey page to sign up to receive more information and notifications of when the vaccine is available for 1B recipients. Chester County is partnering with Delaware County to administer vaccines to this group of recipients.

COVID Vaccine Form

I am eligible because I am (a/an):
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