Groups 1-9 Register for Vaccination

Register to get vaccinated

All patients in Group 1-9 are eligible for their first Covid-19 Vaccination. If you haven’t got an appointment, please use this form to register you details. We will check your eligibility and then send you a text message to your mobile number that will allow you to book your appointment. There can be a 24 hour delay from submitting the form to receiving the text message.

This is only for patients who are registered at the GP surgeries in Kendal.

Groups 1-9

Title *

Given Name *

Family Name *

Date of Birth (dd/mm/yyyy) *

NHS Number *

This is your unique 10 digit NHS identification number. Your NHS Number is printed on your medical card given to you when you register with a GP practice. Your NHS Number helps healthcare staff to find your health records. Each NHS Number is made up of 10 digits, shown like this: 450 557 7104 (this is an example number only). You should be able to find your NHS Number on any letter or document you have received from the NHS, including prescriptions, test results, and hospital referral or appointment letters. If you cannot find your NHS Number at home, you can ask your GP practice to help you.

Mobile Telephone *

Please ensure your mobile entered correctly, with no spaces, i.e. 07347789879

GP Surgery *

If you are under 50, you are currently only eligible if you are considered clinically vulnerable or are a health or social care worker. Please state which applies:

Clinically Vulnerable

Health and Social Care Worker

If you are a Health or Social Care Worker, please state your organisation:

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Groups 1-9 Register for Vaccination

Register to get vaccinated

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