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Rock County launches signup for remaining Phase 1A vaccine recipients

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ROCK COUNTY (WKOW) -- The Rock County Public Health Department has launched an online registration site for health care workers and others Phase 1A who have not yet been vaccinated.

Those eligible for a vaccine under Phase 1A are health care workers and long term care facility residents.

If you or your organization qualify for Phase 1A and want to request vaccination, follow these steps:

  1. Visit the Rock County Public Health Department website at and click on the Coronavirus link.
  2. Click on and Fill out the COVID-19 PHASE 1A Agency Vaccine Request Form. To expedite the process, please designate one person from your organization to complete this form, if possible.
  3. If you do not have internet access or are otherwise unable to complete the form online, you can call 608-352-6727 for assistance.
  4. Be prepared to provide information about your organization, including the number of people who would like to be vaccinated.

Those who complete this form and are eligible to be vaccinated will receive follow-up instructions from a vaccine provider. If you do not qualify, you will not be contacted and will need to request a vaccination again when you are eligible or further instructions are available.