Vaccination Support Request

Louisiana businesses, schools or other organizations that would like assistance setting up a COVID-19 vaccination event for their group at an on-site or off site location, please complete the survey below and a representative from the Department will contact you to discuss your request.

(First)
(Last)
((Street, City, Zip Code, Parish)
(Are you requesting assistance from LDH to come on-site and administer vaccinations, or to assist in making a group appointment at an off-site location?)
Accessibility