Seniors Vaccine Sign-up
for Senior 65+ only
If you are 65 years or older,
are a New York resident,
have not received a COVID-19 vaccination, and interested in getting vaccinated, please fill out the form below and we will submit your name for you.
Notice: Entering your information to our site DOES NOT guarantee you will receive a COVID-19 vaccination.
*Please fill out the form only one time.
