COVID Vaccine For Homebound SLO County Residents

Required fields are marked with asterisks (*)

The County of San Luis Obispo Public Health Department is providing COVID-19 vaccination at home to SLO County residents who are unable to go to a clinic.   

Because of limited capacity, some patients may need to wait several weeks before their home vaccination; however, all eligible patients will have the opportunity to get the vaccine.   

Please use this form below to refer a homebound patient or client for vaccination.  

( ) -
( ) -
Has the patient received a 1st dose? :