Covid Vaccine Signup

At this time, South Carolina, like other states across the nation has limited doses of the COVID-19 vaccines. Spartanburg Regional is assisting DHEC in vaccinating individuals by eligibility. Please visit S.C. DHEC for current vaccine eligibility information.

Please complete the below form to be added to our registration list for COVID-19 vaccine. An individual email address is required for each person to register. When COVID- 19 vaccine is available and you become eligible, you will be notified via email and provided with further instructions.

First Name:

Last Name:

Date of Birth:

Based on S.C. DHEC eligibility phases, I am currently in the following phase:
(click here to view DHEC eligibility phases)

You will be required to verify your age or occupation when you arrive for your appointment.

Job Title or Occupation:

Email:

Phone:

Do you live in Spartanburg, Cherokee or Union counties?

Yes

Do you have any underlying medical conditions that put you at an increased risk for COVID-19?

Yes

Click here to view list of underlying medical conditions
You may be required to verify your medical condition when you arrive for your appointment.

By checking this box, I attest the information I have provided is truthful and that I am eligible, per S.C. DHEC guidelines, to receive the COVID-19 vaccine.