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COVID-19 Vaccine

San Diego County Immunization Registration Form. Bring this completed form with you to your  appointment at a County sponsored vaccination event. If your appointment was made through the website you will not need this form. 

SDIR Form.pdf


The Health District is working alongside our community partners CAL FIRE-San Diego County Fire and North County Fire Protection District to bring the COVID-19 Vaccine to our community. For more information, and to be placed on our local vaccination interest list, please fill out the form below. For any further questions please contact us at or at (760) 731-9187.