× Search
Sunday, January 24, 2021

COVID-19 Vaccine

 Provider Order

Please fill out this form if you are an approved Pandemic Vaccine Provider and wish to receive vaccine allocation.

If you are the owner/director of an agency with staff needing vaccinations in Phase 1a or 1b, please fill out this form. YCCHS will contact you with vaccine opportunities.

Leslie Horton

Leslie Horton


Appointed 2017
Yavapai County Community Health Services' logo
1090 Commerce Drive
Prescott, AZ 86305
(928) 771-3122
Terms Of UsePrivacy StatementCopyright 2021 by Yavapai County Government