In order to help local public health departments, identify health care workers who have not been vaccinated, MDH has developed several registration forms.
January 22 Message for Phase 1a3 Health Care Workers
In order to help local public health departments, identify health care workers who have not yet been vaccinated, MDH has developed the following registration forms.
If you are a health care worker in Phase 1a who has not been vaccinated, here’s what you should do.
Businesses/clinics
If you run a health care business or clinic prioritized in Phase 1a and have not yet made arrangements for vaccination of your staff with a health care provider or local public health department, please provide your information by clicking on
Health Care Vaccination Connection Form. We will share the information you enter with your local health department. They will reach out to you when there are vaccines and appointments available.
Individual health care workers
Please check with your employer regarding arrangements for staff vaccinations. If they do not have any information, you can provide your information by clicking on
Health Care Vaccination Connection Form. We will share the information you enter with your local health department. They will reach out to you when there are vaccines and appointments available.
Self-employed or other health care workers
Please provide your information by clicking on
Health Care Vaccination Connection Form. We will share the information you enter with your local health department. They will reach out to you when there are vaccines and appointments available.
Vaccine availability continues to be very limited. The State of Minnesota is committed to providing you with vaccine as soon as possible.