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Apply to join the COVID-19 Pfizer (Comirnaty) vaccine roll-out in General Practice

Please note: your practice can only apply to join the COVID-19 Pfizer roll-out if it is already administering the COVID-19 AstraZeneca vaccine.

To apply to join the COVID-19 Pfizer roll-out, please follow the instructions below:

  1. Read the Pfizer EOI document.
  2. Fill in the form below.

There is no closing date for applications.

    Practice name

    Contact name

    Contact email address

    Are you currently an approved COVID-19 Vaccine Provider?
    YesNo

    Site is interested
    YesNo

    Site has capacity
    YesNo

    Site meets requirements outlined in Attachment A of the Pfizer EOI document.
    YesNo

    Month in which you are ready to commence with Pfizer: