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

COVID-19 Booster Sign-Up

COVID-19 Booster Sign-Up

Booster shots for recipients of the COVID-19 vaccine are available from Memorial Hospital clinics. Patients wishing to receive a COVID-19 booster must be five months since their second dose and must meet the following criteria:

  • 12 years or older
  • 12 years or older
  • 12 years or older 

Recipients MUST bring proof of previous COVID-19 vaccination (i.e., vaccination card).

Required fields are marked with an asterisk *

First Name *
Last Name *
Phone *
Date of Birth (MM/DD/YYYY) *
Email *
Address 1 *
Address 2
City *
State *
Zip Code *
Date of last COVID Vaccine *
Type of past COVID Vaccine *
Your Medical Provider's Name *
Please list any chronic health conditions here:

Characters remaining:

Find a Provider: