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HOME
DEPARTMENTS
Community Health Services
Health Promotion
WIC
Home Health
Mosquito Control
Environmental Health
Family Planning
Animal Shelter
DATA AND REPORTS
ENVIRONMENTAL HEALTH
Air Quality
Body Art
Burn Restrictions
Food Safety
Pools and Spas
Public Accommodations
Schools and Daycares
Sewage and Septic
Subdivision Review
Trailer Courts and Campgrounds
Mosquito Control
HEALTHY LIVING
Healthy Montana Families
Suicide Prevention
Tobacco Use Prevention
Immunization
Travel Immunizations
Communicable Disease Resources
Community Health Services
Alcohol Sales/Service Training
Alive at 25
Bike Helmets
Buckle Up
Breast and Cervical Cancer Screening
Zero to Five Flathead County
Car Seats
DUI Task Force
WIC
Hours and Locations
News, Events, and Updates
Nutrition Resources
Retailer List
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FCCHD Vaccine Clinic Appointment Scheduling Form
NOTICE
By completing and submitting this form, you are scheduling an appointment to receive a COVID-19 vaccine.
Type and quantity available are subject to change each week.
Please fill this form out for each individual who is need of an appointment.
This scheduling site will be updated regularly to reflect new appointment slots as staffing needs are determined and met. If there are no available appointments at this time, please continue to check back on this website to schedule an appointment when one becomes available.
I have read and agree to the notice above.
Personal Information
Reset Form
Do you have in "Invite Code"
that was sent to your work place?
NO
YES
Submit
First Name
Last Name
Date of Birth
Invalid Date! (mm/dd/yyyy or mm-dd-yyyy)
Sex
Male
Female
Primary Contact Phone#
Invalid Phone Number!
Your Email
Employer
Employment Position
Do you have a mobility issue that makes it difficult
for you to walk or physically enter a building?
Yes
No
Vaccine Type
Please select your vaccine preference
(please note vaccine allocation changes on a weekly basis):
Pfizer (12 and older.)
Moderna (18 and older. Limited supply.)
Johnson & Johnson (18 and older. Limited supply.)
Any other information you'd like to include?
Please do not include additional health information. This will be gathered when we call to schedule appointments.
Vaccination Prescreening
Prescreening
- Have you been vaccinated for Covid-19?
NO - I have not been vaccinated.
Please select your vaccine preference:
Pfizer (12 and older)
Moderna (18 and older)
Johnson & Johnson (18 and older)
YES - I have been vaccinated.
Which vaccine do you want to receive?
Pfizer (12 and older)
12 years and older: It has been at least 3 weeks since my 1st dose or
12 years and older: I meet the criteria for moderate to severe immunocompromised and need a 3rd dose. It has been 28 days since my 2nd COVID-19 vaccination or
18 years and older: I want the Pfizer booster dose. It has been 6 months since my 2nd Pfizer COVID-19 vaccination OR it has been at least 2 months since my Johnson and Johnson COVID-19 vaccination
Moderna (18 and older)
It has been at least 4 weeks since my 1st dose or
I want the Moderna booster dose. It has been 6 months since my 2nd Pfizer COVID-19 vaccination OR
It has been at least 2 months since my Johnson and Johnson COVID-19 vaccination
Johnson & Johnson (18 and older)
It has been at least 2 months since my last Johnson and Johnson COVID-19 or
at least 6 months since my last mRNA COVID vaccination (i.e. Pfizer and Moderna)
AstraZeneca (18 and older)
Please call
(406) 751-8119
to schedule.
At this time, people who got the J&J/Janssen vaccine are
not eligible for a booster shot.
Click here for more information.
Which follow-up vaccine dose do you need?
2nd Dose - SEE CRITERIA ABOVE or
Click here for more information.
3rd Dose - SEE CRITERIA ABOVE or
Click here for more information.
Booster - SEE CRITERIA ABOVE or
Click here for more information.
Schedule Your Appointment
Choose a time slot for :
**TIME-GOES-HERE**
Vaccination Appointment Scheduler - Status
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