Monroe County, NY - Vaccine Registration Form

Monkeypox Vaccine Registration

If you have been informed by the Health Department that you are a close contact of someone who has monkeypox, we will provide you with instructions about where to get vaccinated. Do not make a vaccination appointment yourself.

Please answer the question below to determine your eligibility for the Monkeypox vaccine.

Do you feel you may have recent or future risk of exposure to infection with monkeypox?

Yes No

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