COVID-19 Vaccine Waiting List

Refugio County Memorial Hospital District is currently waiting on its next allocation of the Moderna Covid-19 Vaccine. If you are over the age of 18 you may register on this site to receive the Moderna Covid-19 Vaccine.

We do not at this time have the Johnson & Johnson vaccine.

Depending upon the amount of vaccine allotted and other factors, we may schedule patients individually or we may hold one or large scale vaccination clinic. Once you complete this form, your information will be placed in a scheduling queue at the Refugio County Memorial Hospital. When the vaccine arrives you will be contacted by phone or email to notify/schedule you for your vaccination.

Please complete the following information to be put on a waiting list for our next distribution of the Moderna COVID-19 vaccine.

Unpublished form