Request Form for Onsite/Mobile COVID-19 Vaccination Clinic

If your organization is within the City and Borough of Juneau and you wish to request an onsite/mobile COVID-19 vaccination clinic, or would like to host a community pop-up clinic, please complete the request form below. Vaccine supply is still limited and we will prioritize requests according to the State of Alaska’s previous eligibility tiers as well as considerations of equity in vaccine access and distribution. We will prioritize locations that serve folks who face barriers to accessing existing vaccine clinics. A mobile vaccination team will reach out to you when we are able to follow-up. Thank you in advance for your patience.