Phase Finder Somali

Looking for the Phase Finder Website?

The site has been discontinued with the recent and planned expansion of vaccine eligibility. Check here if you're eligible now and enter your zip code to find available appointments.

Before you begin, there are a few things for some people to know:
- If you are pregnant, you're welcome to complete this form, but please speak with your health care provider about your vaccination options.
- The vaccine prioritization phases under each tribal jurisdiction may be different. Check with your tribal provider.
- Currently, the Pfizer vaccine is authorized for people ages 16+ and the Moderna vaccine is authorized for ages 18+.

We are trusting you to answer these questions truthfully. Truthful responses will help the Department of Health ensure that people with the highest risk of getting COVID or being affected by COVID will be prioritized. Accurate information will also help guide the plans as to which areas in the state most need vaccines.

Language
In what zip code is your home in WA located? *
(Note: We are using this information to determine eligibility and inform vaccine distribution)

Are you a worker in a health care setting (e.g. healthcare provider, vaccination provider, security officer, environmental management, counselor) who is at risk for acquiring or transmitting COVID due to exposure to patients, co-workers or specimens? *

YES NO
"Healthcare setting" refers to places where healthcare is delivered to humans and includes, but is not limited to, acute care facilities, long term acute care facilities, inpatient rehabilitation facilities, nursing homes and assisted living facilities, home healthcare, vehicles where healthcare is delivered (e.g., mobile clinics), and outpatient facilities, such as dialysis centers, physician offices, and others.

Do you live in a group setting (e.g. long term care or assisted living facility, group home, other) where people over 65 years of age receive care, supervision or medical assistance? *

YES NO

Are you unable to live independently and are you being cared for by a relative, in-home caregiver, or someone who works outside the home? *

YES NO

Are you over 50 years and living with and caring for someone who is not your child (i.e. a grandchild, niece or nephew)? *

YES NO

Are you working outside the home and/or does someone you are living with work outside the home? *

YES NO

Are you considered a critical worker according to the Washington Critical Infrastructure Worker list? *

YES NO
If you're not sure, you can see the list here.

If you are a worker or volunteer, are you able to reduce your risk of exposure (e.g., remain physically distant, telework)? *

Yes No Not applicable

Select any of the following that apply to your living conditions or abilities: *

None of these options apply to me. I am currently experiencing homelessness. I am a resident of a group home for people in recovery or a substance use disorder facility. I currently reside in a corrections facility, prison, jail, or detention center. I have a disability that prevents me from adopting protective measures against COVID-19. I am a resident of a group home for people with disabilities (mental illness, developmental/intellectual disabilities, physical disabilities).

Which statement best describes you?

I plan to get the COVID-19 vaccine as soon as I am eligible. I probably won't get the COVID-19 vaccine. I am unsure about getting the COVID-19 vaccine.
Please note that your response will not affect your ability to access a vaccine.

You are eligible to get the COVID-19 vaccine.
Please enter your name below to get a confirmation message that you can show to a vaccine provider to demonstrate your eligibility. *

First Name Last Name
You are not yet eligible to get the COVID-19 Vaccine.

The Washington State Department of Health can email, call or text message you when you are eligible to get the vaccine. Please choose how you would like to be notified. Your contact information will remain private and will not be used for any other purpose. We wish we could provide you with an exact date that your phase will begin, but the pace that we are able to vaccinate is dependent on unpredictable vaccine supply.
How should we contact you?

Email Text message Phone call

If you would like to receive reminders from the Washington State Department of Health about getting your COVID-19 vaccine doses, please provide either an email address or phone number. Email addresses will receive a copy of your confirmation as well. Your information will remain private and will only be used for this purpose.
Sign up for notifications

Email Text message Phone call
Please enter your email address
example@example.com
Please enter your phone number
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Please enter in your name below

First Name Last Name
eligible (hidden field)
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