UnityPoint Health - Memorial Hospital Sign up for the COVID-19 Vaccine Hancock County, IL COVID-19 Info
COVID-19 Vaccine Sign-up

Coronavirus Vaccine Signup

Thank you for registering for our waiting list to receive the COVID-19 vaccine. 

Please do not call the hospital or any of our clinics to confirm or see where you are on the list.  

  • You will be contacted by a member of our staff at the phone number you provided on this form when you have been scheduled for an upcoming vaccine clinic.  Please make sure the contact number provided is accurate.

  • Currently, we are following the IDPH’s COVID-19 Vaccination Plan and vaccinating those individuals included in Phase 1a and Phase 1b.  For more information about Illinois’ COVID-19 vaccination efforts, please visit: https://coronavirus.illinois.gov/s/

  • At this time, we are at the mercy of the State of Illinois as to WHEN and HOW MANY vaccines we will receive.  Priority will be given to assure those receiving the first shot will be scheduled to receive the second dose.  We estimate it could take several months to vaccinate this group of the population. We are doing everything we can to make this process as easy as possible.     

We cannot guarantee vaccination by being put on this list.  If you have another opportunity to receive the vaccination, we suggest you take advantage of that opportunity.

We ask for your patience and understanding as we work hard to vaccinate our community. Thank you!


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