COVID 19 Vaccine Registration Form

COVID Vaccination
COVID-19 VACCINATION INFORMATION

 

At Home Care has received authorization from the state of Missouri to administer the COVID-19 vaccine.

Learn more about the vaccine schedule
View answers to frequently asked questions about the COVID-19 vaccine.

The COVID-19 vaccine is to be administered in phases defined on a state-by-state basis.

The state of Missouri’s COVID-19 vaccination plan includes the following phases:

Phase 1A – Vaccinating those most vulnerable and protecting them

  • Hospitals, long-term care facilities and residents, including Department of Mental Health (DMH)-operated facilities
  • Home health, hospice, dialysis centers, urgent care centers
  • Vaccinator staff and those administering the COVID-19 test
  • Congregate community healthcare settings staff and residents, including DMS contracted settings and adult day cares
  • High-risk non-congregate healthcare, including clinics, physicians and home care providers
  • All remaining patient-facing healthcare providers, including but not limited to health care workers in emergency shelters, dental offices, school nurses, pharmacists, public health clinics, mental/behavioral health providers and correctional settings

Vaccines are currently available to individuals listed in Phase 1A.

To reserve your spot for a COVID-19 vaccine, please fill out the At Home Care COVID-19 Vaccine Pre-Registration Form.

Click NEXT (below) to proceed.

Phase 1B – Tier 1: Protecting those who keep us safe and help us during an emergency

  • Public health administrators and staff
  • Law enforcement
  • Fire services
  • Corrections
  • Emergency management
  • Public works
  • Emergency services

Vaccines are currently available to individuals listed in Phase 1B – Tier 1.

To reserve your space for a COVID-19 vaccine, please fill out the At Home Care COVID-19 Vaccine Pre-Registration Form.

Click NEXT (below) to proceed.

Phase 1B – Tier 2: Protecting those who are at increased risk for severe illness

  • Anyone 65 and older
  • Any adults with:
    • Cancer
    • Chronic kidney disease
    • COPD
    • Heart conditions
    • Weakened immune system due to organ transplant
    • Severe obesity (BMI >40)
    • Pregnancy
    • Sickle Cell Disease
    • Type 2 Diabetes Mellitus
    • Individuals with intellectual and/or developmental disabilities, such as Down Syndrome

Vaccines are currently available to individuals listed in Phase 1B – Tier 2. T

To reserve your spot for a COVID-19 vaccine, please fill out the At Home Care COVID-19 Vaccine Pre-Registration Form.

Click NEXT (below) to proceed.

Phase 1B – Tier 3: Protecting those who keep the essential functions of society running

  • Education
  • Childcare
  • Communications infrastructure
  • Dams sector
  • Energy sector
  • Food & Agriculture sector 1
  • Government
  • Information technology
  • Nuclear reactor sector
  • Transportation systems
  • Water and Wastewater systems

Vaccines are not yet available for Phase 1B – Tier 3.

Please check back to see when Missouri has approved vaccinating people in this Phase. Please feel free to Click NEXT (below) to proceed and preregister.

Phase 2: Accelerating equitable economic growth

  • Chemical sector
  • Commercial facilities sector
  • Critical manufacturing sector
  • Defense industrial base sector
  • Financial services sector
  • Food & Agriculture sector 2
  • Government
  • Higher education
  • Disproportionately affected
  • Homeless

Vaccines are not yet available for Phase 2.

Please check back to see when Missouri has approved vaccinating people in this Phase.

Please feel free to Click NEXT (below) to proceed and preregister.

Phase 3 – All Missouri residents

Vaccines are not yet available for Phase 3.

Please check back to see when Missouri has approved vaccinating people in this Phase.

Please feel free to Click NEXT (below) to proceed and preregister

Learn more about the vaccine schedule
View answers to frequently asked questions about the COVID-19 vaccine.

The COVID-19 vaccine is to be administered in phases defined on a state-by-state basis.

The state of Missouri’s COVID-19 vaccination plan includes the following phases:

Phase 1A – Vaccinating those most vulnerable and protecting them

  • Hospitals, long-term care facilities and residents, including Department of Mental Health (DMH)-operated facilities
  • Home health, hospice, dialysis centers, urgent care centers
  • Vaccinator staff and those administering the COVID-19 test
  • Congregate community healthcare settings staff and residents, including DMS contracted settings and adult day cares
  • High-risk non-congregate healthcare, including clinics, physicians and home care providers
  • All remaining patient-facing healthcare providers, including but not limited to health care workers in emergency shelters, dental offices, school nurses, pharmacists, public health clinics, mental/behavioral health providers and correctional settings

Vaccines are currently available to individuals listed in Phase 1A.

To reserve your spot for a COVID-19 vaccine, please fill out the At Home Care COVID-19 Vaccine Pre-Registration Form.

Click NEXT (below) to proceed.

Phase 1B – Tier 1: Protecting those who keep us safe and help us during an emergency

  • Public health administrators and staff
  • Law enforcement
  • Fire services
  • Corrections
  • Emergency management
  • Public works
  • Emergency services

Vaccines are currently available to individuals listed in Phase 1B – Tier 1.

To reserve your space for a COVID-19 vaccine, please fill out the At Home Care COVID-19 Vaccine Pre-Registration Form.

Click NEXT (below) to proceed.

Phase 1B – Tier 2: Protecting those who are at increased risk for severe illness

  • Anyone 65 and older
  • Any adults with:
    • Cancer
    • Chronic kidney disease
    • COPD
    • Heart conditions
    • Weakened immune system due to organ transplant
    • Severe obesity (BMI >40)
    • Pregnancy
    • Sickle Cell Disease
    • Type 2 Diabetes Mellitus
    • Individuals with intellectual and/or developmental disabilities, such as Down Syndrome

Vaccines are currently available to individuals listed in Phase 1B – Tier 2. T

To reserve your spot for a COVID-19 vaccine, please fill out the At Home Care COVID-19 Vaccine Pre-Registration Form.

Click NEXT (below) to proceed.

Phase 1B – Tier 3: Protecting those who keep the essential functions of society running

  • Education
  • Childcare
  • Communications infrastructure
  • Dams sector
  • Energy sector
  • Food & Agriculture sector 1
  • Government
  • Information technology
  • Nuclear reactor sector
  • Transportation systems
  • Water and Wastewater systems

Vaccines are not yet available for Phase 1B – Tier 3.

Please check back to see when Missouri has approved vaccinating people in this Phase. Please feel free to Click NEXT (below) to proceed and preregister.

Phase 2: Accelerating equitable economic growth

  • Chemical sector
  • Commercial facilities sector
  • Critical manufacturing sector
  • Defense industrial base sector
  • Financial services sector
  • Food & Agriculture sector 2
  • Government
  • Higher education
  • Disproportionately affected
  • Homeless

Vaccines are not yet available for Phase 2.

Please check back to see when Missouri has approved vaccinating people in this Phase.

Please feel free to Click NEXT (below) to proceed and preregister.

Phase 3 – All Missouri residents

Vaccines are not yet available for Phase 3.

Please check back to see when Missouri has approved vaccinating people in this Phase.

Please feel free to Click NEXT (below) to proceed and preregister