Vaccination for COVID-19 Virus

For Hospitality & Food Service Workers

CVIM is vaccinating in accordance with the State Department of Health Plan.  To be added to our waiting list, please complete all items in the following form. If it is not convenient for you to submit this form on line, you can provide the same information by phoning CVIM at (814)231-4043.  Note that if more than one individual in a household is eligible for vaccination, a separate waiting list signup is required for each of them.

When we reach your name on the waiting list, you will be contacted by CVIM to schedule your appointment at an upcoming vaccination clinic. 

If you have specified your email address when signing up on the waiting list, you will receive an email with instructions for self-scheduling your appointment over the internet (Please watch your Inbox for this important email and be sure to also check you Junk Mail folder).

If you have only specified a phone number, you will be called by a CVIM representative who will work with you to schedule your appointment.

We recommend you sign up on waiting lists at vaccination sites in addition to CVIM.  Check the Pennsylvania Department of Health website for a listing of injection sites and other important information about the vaccine.