Vaccine Assistance Request - Aging & Disability Resource Center (ADRC)

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Please fill this out if you would like to be contacted regarding options for getting a COVID-19 Vaccination

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Name *

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Phone *

Are you are resident of Brown County? *

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County (if not Brown):

Open Mon – Fri 8 a.m. – 4:30 p.m.
(Other times by appointment)
Fax: (920) 448-4306

ADRC is a nonprofit, 501 (c)(3) organization.