COVID-19 Vaccine Registration Forms

Please read before submitting forms below: 

COVID-19 Registration Forms for Phase 1b (75yo+)

CVMS COVID-19 Recipient Vaccination Questionnaire

o To get the COVID-19 vaccination, you must be registered in the CVMS.

o Complete the questionnaire form and email to:

o Once you are registered in CVMS:

 Please understand that being registered in CVMS does not mean you have an appointment.

 A member of the Onslow County Health Department will be reaching out to schedule an appointment for you.

 The Health Department asks that you remain flexible with your time because schedulers will try to fit you in at the earliest available appointment.

COVID-19 Vaccination Clinic Registration Form

  Bring the unsigned completed registration form to your appointment:

 You will sign this form at your appointment

 Bring Photo ID

 Bring any applicable medical insurance card(s)

For further questions or concerns please call the Citizens Phone Bank 910-989-5027.