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COVID Vaccination Registration

COVID Vaccination Form

Oneida Nation is holding COVID-19 Vaccination clinics for Oneida Community Members 12 years and older, active patients of the Oneida comprehensive Health Division, and Oneida Nation Employees.

Registration Form

Do you currently have any COVID symptoms? *

Please call (920)869-4939 to schedule a COVID test.

Are you currently in quarantine or isolation due to being COVID-19 positive or in contact with someone being COVID-19 positive? *

Please wait until quarantine or isolation has been cleared before scheduling for the vaccine.

Have you ever used the Oneida Comprehensive Health Division (Medical, Dental, Optical, Behavioral Health, Pharmacy, Physical Therapy or AJRCCC)? *

If you are experiencing COVID symptoms or are currently in quarantine you may not schedule a vaccine appointment at this time.

Please call (920)869-4939 with any questions.

Additional/Contact Info