COVID-19 Vaccination Pre-Registration - Village of Skokie

The Skokie Health and Human Services Department is working to get the COVID-19 vaccine to all residents and healthcare workers within the Village of Skokie. The Village is following the guidelines of the Illinois Department of Public Health and will be providing vaccinations in a multi-phased approach. For more information on these phases, click here. Please complete this pre-registration and you will receive notice when you are eligible to make a vaccination appointment. The Village will move to new phases as sufficient doses of the vaccine become available. Proof of Skokie residency and/or if applicable employment at a Skokie healthcare facility will be required to receive a vaccine.

Each household member must pre-register.

You must answer every question.

PHASE 1A:

- Healthcare Personnel
- Hospital Settings
- Non-Hospital Healthcare
- Long-term care facility staff and all residents
- Other identified congregate care staff and all residents

For a list of Phase 1a eligible individuals, click here

Question Title

* 1. Are you a healthcare worker that works or lives in Skokie, a long-term care facility worker or resident in Skokie, or an "other congregate" worker or resident in Skokie? For a list of Phase 1a eligible individuals, click here.

Yes (proof of Skokie residency or working at a Skokie healthcare will be required at the clinic)

PHASE 1B:

- Persons aged 65 years and older
- Frontline essential workers

For a list of Phase 1b eligible individuals, click here.

Question Title

* 2. Are you 65 or older and a resident of Skokie or frontline essential worker that lives in Skokie? For a list of Phase 1b eligible individuals, click here.

Yes (proof of residency and employment as a frontline essential worker will be required at the clinic)

PHASE 1C:

- Persons aged 18 to 64 years old with high-risk medical conditions
- Other essential workers
- See page 15-16 of State of Illinois Vaccine Plan to see examples of high-risk medical conditions and examples of “essential workers”.

Question Title

* 3. Are you a Skokie resident age 18 to 64 with a high-risk medical condition or qualify as an "other essential worker"?

Yes (proof of residency will be required at clinic)

PHASE 2:

-Rest of Population

Question Title

* 4. Are you a Skokie resident that does not qualify for Phase 1a, 1b OR 1c vaccination (answered “No” to all questions above)?

Yes (proof of residency will be required at clinic)