Cullman Regional has received the COVID-19 Vaccine and is following the distribution plans outlined by the Alabama Department of Public Health. We will provide more information as we receive it. If you would like to join the waiting list for our Community COVID-19 Vaccination Clinics, please complete the form below.

2-4-2021 UPDATE: ADPH announced Jan. 29th starting February 8, ADPH will extend eligibility for COVID-19 vaccinations to include people 65 or older, and additional groups of frontline workers. Click here for full list of who is included. If you have signed up on our waiting list, we will contact you directly if we have an appointment available.

1-8-2021 UPDATE: The Alabama Department of Public Health announced that the COVID-19 vaccination program will be expanded to include people 75 years and older effective January 18, 2021. If you have signed up on our waiting list, we will contact you directly if we have an appointment available.

Completing this form is not a guarantee of an appointment as we have a limited supply of the vaccine. Information about additional vaccination locations is available on the ADPH website.


Request form to be put on waiting list

We will contact you by phone when we have an appointment available. Completing this form is NOT a guarantee that you will receive an appointment as we have a limited supply of vaccine. If you are available on short notice to fill in gaps in our schedule, please indicate that below.

Once you have been scheduled for your appointment, please fill out this form ahead of time to speed up the registration process. Bring your consent form, driver’s license and medical insurance cards with you to your appointment. Link to consent form
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