Interior Health - Immunizer Form

This form is intended for health-care professionals interested in helping with immunizations at one or more of Interior Health’s COVID-19 Immunization Clinics. Expressing an interest does not automatically commit you to the program. You will be contacted by a Public Health representative in the coming weeks to discuss your availability.

Personal Demographics

Availability and Experience



Please check each statement to acknowledge you have read our site policies, and then click submit form to Interior Health *