Pre-registration for COVID-19 Vaccine through DOH-Brevard

• Vaccination is for anyone ages 65 years and older (Individuals under age 65 will not be vaccinated)
• Healthcare workers who provide direct patient care but who are not associated with a hospital system
• Please bring your ticket with you in order to receive vaccination.
• Each person receiving vaccination is required to sign up for an appointment
• Each person must bring a form of identification (driver's license, passport, healthcare badge, etc.)
• Print and complete the COVID-19 Vaccine Screening and Consent Form to bring to the appointment for more efficient service. We do not require the insurance information.

To successfully pre-register for a vaccine you MUST complete ALL of the following steps:

1. Select a date and time
2. Confirm quantity of tickets
3. Provide your contact information and answer ALL of the questions
4. Select "Register" to complete order