Please let us know if you get your vaccine elsewhere.
To help us schedule as many members of our community as quickly as possible, please report if you have been or are currently scheduled to be vaccinated at a location other than the University Medical Center. Only those who are currently eligible to receive the vaccine from UA can access the form.
Providing this information will help us:
• avoid sending unnecessary scheduling invitations,
• request appropriate vaccine quantities, and
• plan for the eventual possibility of campus-wide herd immunity.
To report your vaccination received or scheduled at an external location, complete this form and provide your vaccination date and type.