Vote and Vax » Submit Clinic/s

Submit Clinic/s

Step 1: Please fill out the contact information below of your organization.

Step 2: Please download and complete the Excel template with the information about your clinics. Once completed, upload the Excel document using the upload tool below.

Complete Contact Information & Submit Clinic(s)

Step 1: Contact Information*
First Name Last Name
Email*
Phone Number*
Sponsoring Organization Name*
Address of Contact Organization*
Street Address Address Line 2 City State ZIP Code
Step 2: Complete & Upload Clinic Information*
Please download and fill out this template Excel sheet with the information about your clinic(s): Clinic Excel Template. Once completed, please save and upload the Excel using the upload tool above. Once reviewed, your clinics will be added and searchable by zip code in our Clinic Finder!