Arlington COVID-19 Vaccination Planning
To administer the COVID-19 vaccine Arlington's Health Department is following the Mass Department of Public Health (DPH) vaccine distribution timeline found at mass.gov/vaccine. DPH will only provide vaccine to vaccinate one priority group at a time. Currently the Health Department is vaccinating First Responders and others in Phase 1.
 
To streamline possible future clinics and to alert you, the Health Department is gathering information from Arlington residents interested in receiving the vaccine. Please fill out the form below. Filling out this form does not guarantee placement, nor are you obliged to attend a Health Department clinic. The form is only intended so we are able to alert you of upcoming clinics (by priority group).

Please note:
- Depending on the priority group, it may be weeks before you hear from us. Please be patient.
- For when your priority group is being scheduled, please visit mass.gov/vaccine
- Verification of your priority group will required prior to any clinic.
- You can always read about Arlington COVID-19 response at arlingtonma.gov/COVID19

View Phases and Priority Group Details here https://tinyurl.com/y2bbjqxv

*Information collected by the Health Department on this form falls under the Town of Arlington's online and privacy policies and will not be shared to 3rd parties. It is only intended to alert submitters of upcoming local vaccination clinics and related information. Read the policy here. https://www.arlingtonma.gov/connect/privacy-online-policies
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Email *
Untitled Title
Name (last)
Name (First)
phone number (xxx) xxx-xxxx
Which priority group do you fall within in the DPH Vaccination Phases? https://bit.ly/2MPRshb *
Please list your profession
Any additional information that you'd like to share?
A copy of your responses will be emailed to the address you provided.
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