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The Montgomery County Office of Public Health is required to follow the Pennsylvania Department of Health's plan for COVID-19 vaccine prioritization and distribution. At this time, vaccine supplies are limited. 

Business Vaccination Registration

Healthcare workers who qualify for Phase 1A and businesses/industries who qualify for Phase 1A or 1B in Montgomery County may register for the vaccine by completing the below Pre-Screening Survey. 

Pre-Screening For Healthcare Personnel & Business Vaccination Registry

The Office of Public Health will review the responses and send a registration link to persons that fit into the 1A category, which will take them to an appointment system. Appointment confirmation and a medical license, badge, or paystub verifying employment will be required to receive a vaccination.

Healthcare Offices and Healthcare professionals: Individuals employed by a healthcare office should have their office complete one survey form for all staff.

Private Healthcare Contractors: Private contractors who work in the healthcare industries listed in the Phase 1A category, and who do not have a primary employer may apply as an independent contractor. In this case, “Business Name” would be “Your Name Private Contractor.” Business contact information would be the individual’s contact information. A description of the individual’s work in the healthcare industry (as described above in 1A) should be included under “describe the service your agency providers.”

Individual Vaccination Registration

Pre-registration is also open to high-risk individuals who are:

  • 65 years of age or older, or
  • Ages 16-64 with high-risk conditions including the following:
    • Cancer
    • Chronic kidney disease
    • COPD
    • Down Syndrome
    • Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
    • Immunocompromised state (weakened immune system) from solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
    • Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2)
    • Severe Obesity (BMI ≥ 40 kg/m2)
    • Pregnancy
    • Sickle cell disease
    • Smoking
    • Type 2 diabetes mellitus

Pre-registration for Individuals

For information on the qualifications for receiving the vaccine during each phase, please visit the Montgomery County's website.

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Borough Administration
400 Fayette Street, Suite 200
Conshohocken, PA 19428

Phone: (610) 828-1092
Fax: (610) 828-0920

Phone: (610) 828-4032
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