You’re offline. This is a read only version of the page.
Toggle navigation
Upload is in Progress. Please wait.
Nebraska Department of Health and Human Services (DHHS) COVID-19 Vaccine Registration Portal
Register for Vaccine
Register for Vaccine
General
Formal First Name
Middle Name
Last Name
Birth Date
Vaccine Type
COVID (Dose 1 & 2)
COVID Additional Dose For Immunocompromised
COVID Booster Dose
Flu Vaccine
Email Address
Contact Id
Covid Vaccine Interview Id
Vaccine Interview Id
Internal Session Id