[CT-NFB] FW: Homebound COVID vaccination intake form - Please share

[llee at nfbct.org]

From: Sigman, Brian <Brian.Sigman at ct.gov> 
Sent: Friday, April 9, 2021 4:55 PM
To: DORS-DL BESB <DORS-DLBESB at ct.gov>
Subject: FW: Homebound COVID vaccination intake form - Please share
Importance: High

 

From: Sullivan, Kathleen <Kathleen.Sullivan at ct.gov
<mailto:Kathleen.Sullivan at ct.gov> > 
Sent: Friday, April 9, 2021 4:50 PM
Subject: FW: Homebound COVID vaccination intake form - Please share

 

Please share the following information with your partners. 

 

For Connecticut Residents:

 

If you or someone you care for is physically or medically unable to leave
their home to get the COVID-19 vaccine click here for the online homebound
vaccination intake form (eligibility info included) 

https://dphsubmissions.ct.gov/homebound?fbclid=IwAR1hPGRewhyxfiyPD-dXt5sF0yM
-ogLsekMqwdHwFbSuizXLWV7Sixu73hU

 

If you only need a ride to get a COVID-19 shot, you should not complete this
form. You should click on this
<https://portal.ct.gov/Coronavirus/Transportation-Resources> Transportation
Resources link for help finding a ride
(https://portal.ct.gov/Coronavirus/Transportation-Resources)

 

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