Care-a-Van Request Form
To access this form in another format or language, please email equity@doh.wa.gov or call 800-525-0127. Language assistance is available.
Clinic will be held Tuesday through Saturday, with each clinic limited to 4 hours. This adjustment allows us to maintain efficiency while ensuring accessibility for all.
The Washington State Department of Health (DOH) strives to keep our communities healthy. If your organization is planning a community event and would like DOH to offer health services, please complete the form below. Care-a-Van is currently offering:
- Childhood Vaccinations
- Blood Pressure Screenings
- Blood Glucose Screenings
- Mpox (Monkeypox) Vaccinations
- COVID-19 Vaccinations
- Flu (Based on availability)
- Naloxone (Narcan) Distribution Kits
- Community Based Care Coordination (Based on availability)
We will consider events occurring in less than 14 days on a case-by-case basis. All services are based on availability. Please note that your Care-a-Van request may be forwarded to the Local Health Jurisdiction as part of our practice of collaborating with local health departments. Requests may also be fulfilled by a DOH vaccine contractor should the Care-a-Van not be available.
If you have questions or need assistance filling out this form, please contact care-a-van@doh.wa.gov.