COVID-19 Vaccine at HealthNet

HealthNet of Rock County is currently providing the COVID-19 vaccine to eligible Rock County residents on Mondays & Fridays. Fill out the form below if you are interested in receiving your vaccine at our clinic!

*We are providing the Moderna COVID-19 vaccine, which is only for individuals age 18 and older.*

For more information, visit RockCountyShot.com

Name
What is your date of birth?(Required)
Must be 18 or older.
Example: place of work, chronic health conditions, accessibility concerns, etc.