Tier 1B Covid-19 Vaccine Waiting List

Thank you for your interest in receiving the COVID-19 Vaccine. Culberson Hospital is currently waiting on an allotment of the vaccine. Once received, those that have completed the form below that fall under Tier 1B will be scheduled Monday – Friday during business hours at Culberson Hospital . This will be by appointment only. Please note you do NOT have to live in Culberson County in order to sign up on the list.

By completing the following form, your information will be submitted to Culberson Hospital scheduling. Once the vaccine shipment arrives, you will be contacted on your vaccine date and time, as well as instructions on where to report.

Per Texas Health and Human Services, to qualify for Tier 1B you must be:

65 years of age or older

OR

18 years of age or older with at least one chronic medical condition that puts you at increased risk for severe illness from the virus that causes COVID-19, such as but not limited to:

  • Cancer
  • Chronic kidney disease
  • COPD (chronic obstructive pulmonary disease)
  • Heart conditions, such as heart failure, coronary artery disease or cardiomyopathies
  • Solid organ transplantation
  • Obesity and severe obesity (body mass index of 30 kg/m2 or higher)
  • Pregnancy
  • Sickle cell disease
  • Type 2 diabetes mellitus
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