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COVID-19 Information

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. 

(Note: LDH can only accommodate a request in which 10 or more people will be vaccinated.)

(First)
(Last)
(Street, City, Zip Code, Parish)
(Minimum is 10 people.)
(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?)