If you feel you have coronavirus symptoms, please call (719) 589-3000, press 9.

COVID-19 Vaccine Registration

Please complete the form below in order to be placed on the waiting list for receiving the COVID-19 vaccine from San Luis Valley Health.


8:00 A.M. - NOON

Wednesdays - Stuart Ave Clinic in Alamosa

Thursdays - Monte Vista & La Jara Clinics

Thursdays - RMC Pediatrics Clinic, Ages 12-17 (Pfizer) - Consent Form

Fridays - Antonito Clinic

For registration changes or questions, please call (719) 587-1355 during normal business hours or complete the form below (you do not need to do both, but please call to cancel if you register elsewhere).

SLVH receives the Moderna vaccine (which requires a second dose 28 days later) and can only vaccinate those who are 18 years of age and older.

Please bring this form to your appointment. Aqui is the form in Spanish.