Mobile COVID-19 Vaccination or Testing Event Request Form

Mobile COVID-19 Vaccination or Testing Event Request Form

Thank you for your interest in our mobile pop-up specialty COVID-19 vaccination and/or COVID-19 testing services.

Please complete the following e-request form below and a public health professional from the San Bernardino County Department of Public Health will reach out to collect more information and confirm the service for your event e-request.

Completion of this e-request form does not guarantee services will be provided. Thank you for your interest and understanding. We value your partnership.