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The Town of Madison, CT is collecting information from residents age 65 and up who would like to be notified when the COVID-19 vaccine is available.
By registering with us, we can quickly and accurately update you as information becomes available.
Please sign up ONE time per person. Thank you.
Please enter in MM/DD/YY
VAMS is the State of Connecticut Vaccine Administration Management System
Healthcare Personnel, Long Term Care Facility Residents, Medical First Responders
Front line essential workers, individual and staff in congregate settings, individuals 75 years of age and older
COVID-19 vaccinations will be available to eligible members of the general public starting this summer.
If you are having difficulty using the online form, please contact the Madison Senior Center at (203) 245-5627 for assistance.
After you submit this form we will re-direct you to the State of Connecticut COVID-19 Response website so you can read more about the State's plans.
Please click the submit button below the email address field.
This field is not part of the form submission.
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