KINGMAN COUNTY VACCINATION SIGN-UP SURVEY
If you live or work in Kingman County and are interested in receiving a COVID-19 vaccine, please complete this short survey.
The survey asks some general questions along with a request for your contact information.
Your contact information will be added to a Vaccination list.
Kingman County will only have one (1) list so be sure to fill in all the requested information.
Once you have COMPLETED the survey, no further action is needed.