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COVID Vaccine Registration

The COVID Vaccine is only being offered to TRICARE Beneficiaries who are considered "High Risk" because they meet the following criteria:

Sponsor's DODID Number

If you are scheduling additional family members in the High Risk category, you may enter their DODID in Additional Comments

Patient's Date of Birth

Patient's Telephone Number

We will call this phone number to schedule your appointment

Additional Comments (Optional)

Don't forget to keep your family's information up to date in DEERS!