The Village of Oak Park | 123 Madison St.  Oak Park, IL 60302 |

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Eligible residents encouraged to complete vaccine pre-registration form

An online vaccine pre-registration form is available for individuals who live or work here and may currently be eligible to receive a COVID-19 vaccine as part of the state’s multi-phased vaccine distribution plan.

The pre-registration form is posted at

Filling out the pre-registration form does not schedule a vaccination, but collects information necessary to contact those eligible as specific vaccination opportunities arise.

Vaccine pre-registration respondents will be contacted when an appointment is available for a vaccine clinic supported by the Health Department. Proof of eligibility, such as age, residency and/or employment in the Village, will be required at vaccine clinics managed by the Health Department.

Partnerships also have been forged with local pharmacies and health care providers to broaden the availability of vaccination services across the community.

Filling out Oak Park’s vaccine pre-registration form does not preclude an eligible resident from receiving a vaccine dose from a provider other than the Oak Park Department of Public Health. As the vaccine supply grows throughout the region, residents are encouraged to take advantage of opportunities to be vaccinated by providers other than the Oak Park Health Department should they arise, with the understanding that any required second dose must come from the same provider.

For more information about the Health Department’s vaccine pre-registration form, email