- Police, Fire, Hazmat
- Corrections and homeless shelter workers
- Childcare/K-12 Teachers/Staff
- Food and Agriculture (Food Packaging and Distribution)
- Grocery Store Workers
- Public Transportation Workers
- Mail carriers (USPS and private)
- 911 Emergency Communications Center
PHASE 1B Vaccine Survey for Individuals:
- This form is only to notify the Health Department of your specific demographics, It does not automatically schedule a vaccination appointment.
- DO NOT fill out more than one survey. We will be in touch when more information is available.
Visit the health district website for the latest information about our vaccination plans at vdh.virginia.gov/blue-ridge/covid-19-vaccination