COVID-19 Vaccine Survey

Stopping the spread of COVID-19 is a team effort, and that's why MU Health Care, Boone Health and Columbia/Boone County Public Health and Human Services are working together to vaccinate our community.

Here's how it works:

  • Complete the survey by filling out the fields below, or call (573) 771-CARE (2273) to have someone fill it out and submit for you.
  • We will send email updates each Monday to alert you to upcoming vaccination opportunities as well as when the state allows vaccination of new phases or tiers.

Things to keep in mind

  • The survey is not required to get an appointment. Vaccine appointments, when available, will be posted on this page.
  • Filling out this survey does not guarantee how or when you will get a vaccine; it just allows us a way to contact you when doses are available.
  • This survey is open to anyone, even if you're not currently eligible to be vaccinated.

More information


  • Please note that we are following state guidelines on prioritizing populations to be vaccinated.
  • The state of Missouri has approved vaccinating people in Phase 1A and Tier 1-3 of Phase 1B. Learn more about the vaccine distribution phases.
  • If you've already received the vaccine and want to be removed from our survey, please complete this form.
  • If you have questions or need help, please call 573-771-CARE (2273).

Thank you for your commitment to stopping the spread of COVID-19!

While you’re waiting your turn for the vaccine, please continue to help us stop the spread by wearing a mask, distancing from others, limiting your contacts and sanitize often and stay home when sick. Go to work, then go home. Go to school, then go home. Run necessary errands, then go home. Be safe.

Vaccines have shown a high level of effectiveness in preventing the illness during their clinical trials, but it’s important to remember that they are just one part of the combination of tools available to help stop the pandemic. Even after being vaccinated, you should continue to follow all the guidelines listed above.

By clicking submit, you agree to receive follow-up information from MU Health Care via unsecured email. We do not share your information with anyone else, and you may opt out at any time. Privacy policy.

Note: If the form refreshes and you don't see a 'thank you' message, make sure you have completed each field.