RFA - Vaccine Registration Form

Welcome To The Sanford Health COVID-19 vaccination submission Site

NOTE: This page is used for internal purposes only. Please enter the information of businesses/schools/individuals who are part of the priority groups.

SD businesses with employees located in counties we do not serve should not register those employees. The business will need to contact the health system responsible for that county to register those employees.

All Required Fields are marked with an '*' below:

* Passcode

* Business name

* Contact first name

* Contact last name

* Phone number

* Contact email

* Confirm email

* State

* Phase

* Group

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