Ministry of Health | Vaccination Appointment

COVID-19 Vaccination Appointment

Step 1: Personal Information

First Name *

Last Name *

Date of Birth *

Gender *

ID Type *

ID Number *

Step 2: Contact Details

Phone Number *

Email Address

Province *

District *

Step 3: Appointment Preferences

Preferred Date *

Preferred Time *

Vaccine Preference

Dose Number *

Step 4: Health Information

Do you have any of the following conditions?

None

Diabetes

Hypertension

Heart Disease

Respiratory Disease

Other

I have known allergies to vaccines or their components

I consent to receiving the COVID-19 vaccination and confirm the information provided is accurate. *

Browse vaccination centres across all 10 provinces of Zambia.

View Vaccination Centres