Sanford Health COVID-19 Vaccine Registration Form

Please complete the form below to register to receive the COVID-19 vaccine.

Sanford Health is following the guidance of the CDC and each state’s department of health to administer vaccines to those defined priority populations once sufficient doses are available. Although you may be eligible to receive a vaccine, due to limited quantities at this time, there may not be a dose available for you yet. Everyone will eventually get access to the vaccine. When you receive your vaccine depends on the amount of doses available and if you belong to a priority population as defined by your state. Learn more about your state below:

After you complete the form, you will receive communication to schedule your vaccine appointment when we have a vaccine dose available for you.

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

*If you wish to receive confirmation that we received your information.