Sign Up for the Sunrise COVID19 Vaccine Waiting List.

We will contact you when there is space available at an upcoming vaccine clinic.

If you prefer to call to sign up, contact us at:

970-346-2587 (English)  OR  970-346-2589 (Espanol)

Your current primary care provider:
Insurance: (There is no fee for the vaccine. We may bill your insurance for an administrative fee. We will not bill patients.)
What is your preferred language?
Prefer Latino Equity Clinic on March 14, 2021
If you have any current high risk** medical conditions, please indicate how many: (see below for examples of high risk)

**High risk medical conditions include:

-Cancer-currently receiving treatment or treated within the last month;

-Chronic kidney disease

-COPD

-Diabetes Mellitus

-Down Syndrome

-Specific heart conditions: heart failure, cardiomyopathies or coronary artery disease, severe valvular/congenital heart disease

-Obesity (BMI > 30 kg/m2)

-Sickle cell disease

-Solid organ transplant

I-ndividuals with disabilities who require direct care in their home

-People with disabilities that prevent them from wearing a mask

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Sunrise Community Health Administrative Office

2930 11th Avenue, Evans, CO  80620.

970.350.4606 

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