Covid-19 Vaccine Registration

Central Maine Healthcare is now vaccinating:

Youths 5-11 years old at the Auburn Mall site by appointment only - no walk-ins
Youths 12 years of age and older at the Auburn Mall site by appointment or on a walk-in basis
Adults 18 years of age and older at Bridgton Hospital and Rumford Hospital by appointment only

Youths 5-17 years old, must be accompanied by a parent or legal guardian.

Youths must be at least 5 years old on the date of vaccination appointment.

Step 1 - Schedule Your Vaccine

There are currently no openings for 5-11 year olds. Please check back often.

Age group of the person seeking vaccination

Email

If you do not have an email address, please use a family member's if possible. Otherwise, please call (207) 520-2917 to schedule your vaccine.

Parent/Guardian Full Name

Parent/Guardian Phone

What dose are you registering for?

What was the date of your last dose?

Where was your last dose administered?

What was your previous vaccine?

Location

Clinic Date

Time Slot

Person Receiving Vaccine

First Name

Last Name

Middle Initial

Date of Birth

Sex

Race

Ethnicity

County

Primary Phone

Address

City

State

Zip

By submitting this form, I attest to the accuracy of my answers.

Registration

We do not have any COVID vaccination appointments at this time.

Thank you for your patience. It is important to note that the number of appointments will depend on vaccine availability. Please continue to check back!

Continue

There are currently no openings for 5-11 year olds. Please check back often.
Age group of the person seeking vaccination	Email	If you do not have an email address, please use a family member's if possible. Otherwise, please call (207) 520-2917 to schedule your vaccine.
Parent/Guardian Full Name	Parent/Guardian Phone
What dose are you registering for?
What was the date of your last dose?	Where was your last dose administered?	What was your previous vaccine?
Location	Clinic Date	Time Slot
Person Receiving Vaccine
First Name	Last Name	Middle Initial
Date of Birth	Sex	Race
Ethnicity	County	Primary Phone
Address	City	State
Zip
By submitting this form, I attest to the accuracy of my answers.

Central Maine Healthcare

Covid-19 Vaccinations

Covid-19 Vaccine Registration

Step 1 - Schedule Your Vaccine

Registration

We do not have any COVID vaccination appointments at this time.

Thank you for your patience. It is important to note that the number of appointments will depend on vaccine availability. Please continue to check back!

Central Maine Healthcare