Vaccine Registration

CMC is pleased to be able to provide COVID Vaccinations to those in our health district.  In order to not waste vaccine, we are ordering vaccine as people sign up.  Please complete the form below if you wish to receive the COVID vaccination.  As new vaccine supply becomes available in Cascade, CMC will call you to schedule your vaccination.  We are following the priority order as directed by federal and state health agencies.  Please allow up to five (5) business days for a call from us.  Thank you!

For all the latest information on the COVID vaccine, including estimated timelines for when Idahoans can get the shot, please visit the Idaho coronavirus website - https://coronavirus.idaho.gov/covid-19-vaccine/

I acknowledge that I am registering for a COVID-19 vaccination appointment in Cascade Idaho

First Name: Last Name:
Date Of Birth: Last 4 of Social
Phone Number: Zip Code
Employer: