Patient Information

Please select one that applies

Documentation will be required at the vaccination site demonstrating residency or employment. A parent or guardian must be present for patients under 18.

At this time, this program is only available to residents of, or those working on-site in, the City of Detroit. Please contact your local health care professionals to find a vaccination location near you.

Contact Details

You will need to verify your email address to schedule your appointment. If you do not have an email address or are unable to access it, please contact our call center directly at (313) 230-0505 for assistance.

Optional

All fields are required unless otherwise noted.

Race (Optional)

Hispanic Ethnicity (Optional)

Arab Ethnicity (Optional)

Preferred Appointment (Optional)

If you don't have a preference on what time or day of the week, no worries! We will still generate an appointment date and time for you.

Day of the week

Morning or Afternoon

(Average Hours of Operation: Mon-Fri: 8AM - 7PM, Sat: 10AM - 1PM)

Preferred Location

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