Vaccination Sign Up Form
(Phase 1A - Qualifying Medical Condition)
Must be a Bucks County resident or employed in the county and one of the following:
- Persons ages 65 and older
- Persons ages 16-64 with high-risk conditions:
- 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)
- Pregnancy
- Sickle cell disease
- Smoking
- Type 2 diabetes mellitus
Note that at
this time only the Pfizer-BioNTech product is approved for those age 16 and 17.
*These categories are general groups. For a more granular list of eligible positions please consult the DOH vaccine plan found here:
https://www.health.pa.gov/topics/Documents/Programs/Immunizations/
PA%20Interim%20Vaccine%20Plan%20V.4.pdf
*Additional vaccine guidance can be found at the Department of Health's website here:
https://www.health.pa.gov/topics/disease/coronavirus/Pages/Vaccine.aspx