COVID-19 Vaccine Waiting List (65+)

PHASE 1B.2

• 65+ YEAR OLDS ONLY AT THIS TIME

For Fremont County Residents only. To be put on the COVID-19 Vaccine waiting list please provide your name, address, date of birth, and phone number. 

Fremont County Department of Public Health & Environment does not have an exact date when a sufficient vaccine supply will be allocated to the county. Educators and front line school staff should contact their districts concerning their vaccinations.

COVID-19 Vaccine Waiting List (High Risk Occupations)

PHASE 1B.2

• Health care workers with less direct contact with COVID-19 patients (e.g. home health, hospice, pharmacy, dental, etc.) and EMS.
• Firefighters, police, COVID-19 response personnel, correctional workers, and funeral services.
• Child care workers in licensed child care programs, teachers (full-time and substitutes), bus, food, counselors, administrative, safety, and other support services offered inside the school.

For Fremont County Residents only. To be put on the COVID-19 Vaccine waiting list please provide your name, address, occupation, employer, date of birth, and phone number. 

Fremont County Department of Public Health & Environment does not have an exact date when a sufficient vaccine supply will be allocated to the county. Educators and front line school staff should contact their districts concerning their vaccinations.

COVID-19 Vaccine Consent and Screening Form

Please provide your information as completely as you can. All information will be kept confidential. 

Fact Sheet For Recipients and Caregivers

This is a Fact Sheet For Recipients And Caregivers that covers the Emergency Use Authorization (EUA) of the Moderna COVID-19 Vaccine to prevent Coronavirus Disease 2019 (COVID-19) in individuals 18 years of age and older.