County Launches COVID Vaccine Interest Form


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Humboldt residents who are interested in receiving a COVID-19 vaccination can now fill out an interest form with the county to be notified when their tier comes up.

A news release from the county's COVID Joint Information Center notes that vaccinations are currently only available to healthcare workers and those who are 75 or old due to limited doses. Appointments are expected to be opened up to some portions of the Phase 1B Tier 1 sector "in the coming days and weeks."

According to the county, about 3,000 people have filled out the form, which ask basic questions, including name, age and ZIP code, since its soft launch on Friday.

About 1,350 people are expected to receive vaccinations this week at Public Health clinics. 

“This interest form is another step toward expanding vaccine access to more members of our community as we plan for additional groups and clinics, but how quickly that happens depends on how many doses we receive from the state,” Humboldt County Public Health Director Michele Stephens said in a news release on Friday.

Last week, the local health official also said the state is working on a way to more accurately track how many doses are available in a particular area.

“Some doses are distributed directly to approved vaccinators and others come through Public Health,” County Health Officer Ian Hoffman said in the release. “A streamlined tracking tool will make it easier for us to plan future vaccination clinics.”

All Humboldt County residents who want to receive the COVID-19 vaccine can now submit their contact information through an online interest form to be notified when doses are available for their tier. The form takes about two minutes to complete and asks for basic information like name, email, zip code and willingness or ability to travel to a clinic in another part of the county. Nearly 3,000 residents have filled out the form since the soft launch on Friday.

Currently in Humboldt County, vaccine is available by appointment only due to limited supply, and priority is given to frontline health care workers and people age 75 and over as part of Phase 1A. Vaccination appointments, while still limited, will be expanded to some in Phase 1B Tier 1 in the coming days and weeks.

Appointments will be made by priority group, as laid out by the California Department of Public Health. Completing the interest form will allow Humboldt County Public Health to contact residents directly when a clinic is scheduled for their priority group. Filling out the form does not place a resident ahead of someone in a higher priority group.

Access the “COVID-19 Vaccine Interest Form for Individuals” here:

The State of California is developing a similar system,, but it is currently not operational in much of the state. More information about that system will be released as it becomes available. For the most recent COVID-19 information, visit or Local information is available at or during business hours by contacting [email protected] or calling 707-441-5000. 


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