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Let us know your COVID vaccination status

We are counting on you to protect your loved ones and yourself. Let us know your COVID vaccination status by following this link.  We may share this information with your provider. Completion of this survey is voluntary. If you do not want to complete this survey, you do not have to. If you do not want the vaccination status information shared with your provider, do not complete this survey.

Your family and friends are counting on you to get a COVID vaccination. If you haven’t been vaccinated, please call your doctor to schedule an appointment today. Or go to Vaccines.gov  for more information about the safety and availability of the COVID vaccine.

Thank you for making sure those closest to you know they can count on you.

Last Updated: 08/12/2021