Monday, September 20, 2021

HSC Public Health Covid Facebook Page

Register - COVID-19 Vaccination List


Complete the below form to register for the Hot Springs County COVID-19 vaccine waiting list. This list is only for vaccinations that will be administered in Thermopolis, Hot Springs County, Wyoming.

  1. Do you request to be vaccinated in Thermopolis, Wyoming?
  2. Are you over age 18, or a parent/guardian of a child over age 12?

Once registered you will be contacted by Hot Springs County Public Health or Red Rock Family Practice to book your appointment.  If possible, please print and complete the Vaccine Consent Form to the right and bring to your appointment. Forms are also available in the alcove at Hot Springs County Public Health, 117 N.4th Street.    Please wear short sleeves to your appointment. 

 SECTION A

Section B:

Complete this section in addition to the above only if you are requesting the Pfizer COVID vaccine for a child aged 12-17.