COVID-19 VACCINE CLINIC - INVITATION ONLY
Please note: this webform works best using an updated browser other than Internet Explorer, such as Google Chrome or Microsoft Edge.
This webform is for use to register for the COVID-19 Vaccination Clinic at Quinte Health Care Belleville General Hospital (by invitation only).
Complete all required fields in the form. This form must be completed separately for each person requiring a COVID-19 vaccination appointment. Within 24-48 hours you will be provided with instructions and directions for attending the clinic.
Quinte Health Care has made an exception to allow the use of unencrypted email for the purpose of registering for vaccination during the pandemic. In order for QHC to use unencrypted email, we must obtain the consent of the patient for this purpose.