Join Our COVID-19 Vaccine Wait List

Chicago is in COVID-19 Vaccine Phase 1b for residents age 65 and older, and frontline essential workers. At this time Swedish Hospital is only preparing to vaccinate individuals 65 and older along with those in the existing 1a group (healthcare workers and residents and staff of long term care facilities). Frontline essential workers (in Phase 1b) can receive vaccine access information by contacting their local public health agencies. For more information, please visit our vaccine information page. 

If you are a current patient and at least 65 years old, we will be scheduling vaccine appointments via NorthShoreConnect. Please follow these steps to ensure you are prepared. 

If you cannot sign up for NorthShoreConnect, you may provide your information below and we will contact you when we are able to expand our vaccination program. 

Please note completing this form is not a guarantee of a vaccine appointment. It may take several weeks (or months) before we can offer COVID-19 vaccination through a method other than NorthShoreConnect.

Preferred Language

Are you 65 or older?

Are you a Swedish Hospital patient?

Are you a healthcare worker?

If you are eligible to receive the vaccine in Phase 1b, what is your role as a frontline essential worker?

For Internal Use Only