Vaccination Sign Up Form
(Phase 1C)
Must be a Bucks County resident or employed in the county and one of the following:
- All adults aged 65-74
- Persons aged 16-64 with underlying health conditions
- Finance staff, including bank tellers
- Information technology
- Energy
- Food services
- Housing construction
- Communications
- Legal services
- Public health workers
- Public safety
- Utility
- Water and wastewater staff
- Federal/state/county/local government
Underlying Health Conditions ---
·
Cancer
·
Chronic Kidney Disease
·
COPD (chronic obstructive pulmonary disease)
·
Down Syndrome
·
Heart conditions
·
Immunocompromised state from solid organ
transplant
·
Obesity (BMI of 30 or higher)
·
Pregnancy
·
Sickle Cell Disease
·
Smoking
·
Type 2 Diabetes
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