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Vaccine Appointment Assistance

 ** READ FIRST **

Please fill out the form below and my team will attempt to assist you with securing a COVID-19 vaccine appointment if you are from the towns of Bellingham, Blackstone, Millville, or Uxbridge. This is not guaranteed and you should continue to secure an appointment yourself. My team uses the same avenues that are available to the public when searching for appointments. You should not fill out this form if you are not yet eligible for a vaccine according to the Massachusetts phase rollout. Thank you for your patience.

For information on the rollout, eligibility, and appointments, please click the following link:

 https://www.mass.gov/covid-19-vaccine

 * Please fill out the form once for each individual *

Vaccine Appointment Assistance Request
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