After you submit the form, we will call, email or text you to schedule an appointment once you are eligible for a vaccination according to Massachusetts guidelines. Due to supply, it might take several weeks until you are notified about an appointment, even if you are eligible for a COVID-19 vaccination. You can schedule yourself online for an appointment here if you are eligible.
- Only people who are eligible for vaccination will receive a phone call, text or email to schedule an appointment.
- Submitting this form does not guarantee an appointment. If you are able to get an appointment through another channel, please get vaccinated through that channel, even if you have already filled out the form.
- Please only include information for one person on each form.
If you have questions about the COVID-19 vaccine, please speak to your primary care provider or visit BMC.org, where you can find answers to many questions about COVID-19 vaccines, such as how the vaccine works and information for people with specific health conditions.