December 7, 2020- The Georgia Department of Public Health (DPH) releases a COVID-19 Vaccine Pre-Enrollment Questionnaire for healthcare provider intending to provide COVID-19 vaccines to their staff, patients, or residents upon vaccine availability. Pre-enrollment is the first step in the process to become a vaccine provider. Failing to pre-enroll will result in vaccines not being allocated for your you.

You may access the pre-enrollment questionnaire at https://www.surveymonkey.com/r/DMBGGJP.

A few important points:

• This survey will allow the Georgia Immunization Program to assess your current capabilities, needs etc.
• Even if you are already registered to provide other vaccines- you must register separately for the COVID-19 Vaccine
• Entities do not have to be a validated Closed POD to be a provider. However, being a Closed POD helps with necessary planning to vaccinate your population(s) and ensures current contact information for the facility
• Entities do not have to be in the Tier 1 group to start enrolling
• If you are a Long Term Care Facility, and have already signed on with a pharmacy (CVS or Walgreens) to provide your COVID-19 Vaccine, you do not need to complete the pre-enrollment survey!

About DPH

The mission of the Georgia Department of Public Health is:

To prevent disease, injury, and disability; promote health and well-being; and prepare for and respond to disasters.

DPH’s workforce is guided by the following core values in carrying out our public health work:

People – We value our employees as professional colleagues.  We treat our customers, clients, partners, and those we serve with respect by listening, understanding, and responding to needs. 
 
Excellence – Commitment, accountability, and transparency for optimal efficient, effective, and responsive performance. 
 
Partnership – Internal and external teamwork to solve problems, make decisions, and achieve common goals. 
 
Innovation – New approaches and progressive solutions to problems.  Embracing change and accepting reasonable risk. 
 
Science – The application of the best available research, data and analysis leading to improved outcomes.