Covid-19 Vaccination Information

Vaccination Checklist

  • Our goal is to vaccinate the entire community.
  • Space is limited.  1st come, 1st served basis.
  • We will have other vaccination clinic dates in the near future.
  1. VACCINATION APPOINTMENT REQUEST FORM

    • Fill out request form to schedule your appointment.

    • Please fill out all information boxes and save the form before you email it to us.

    • Any information that is not completed or is inaccurate may affect your application process.

  2. Email the VACCINATION APPOINTMENT REQUEST FORM to: KauaiCovid19@hhsc.org

    • Allow 2 business days for processing.

  3. Our staff will call you within 2 business days to confirm your appointment date and time.

  4. Complete CONSENT FORM and bring with you to your appointment

  5. Download VACCINATION MAP for further information, such as what you need to bring with you to your appointment