Complete the form below to be added to the COVID-19 Vaccine Waitlist at SouthCoast Health.

• Exclusively for use by SouthCoast Health Patients who are residents of the state of Georgia
• We will be following all current and future CDC guidance and cannot guarantee access to the vaccine.
• Vaccine supply is limited and is being offered to patients based on the State of Georgia's priority groupings.
• Vaccinations are by appointment only
• You will receive a text message from us when it is your turn to schedule an appointment.
• Please respond to the text message as soon as possible as appointments will fill up fast.
• View SouthCoast Health’s COVID-19 Vaccination Statement.