The Michigan Department of Health and Human Services (MDHHS) Division of Immunizations has released a new online COVID-19 Provider Vaccination Registration form. Health Care Organizations, Pharmacies and Providers who plan to participate in the administration of the COVID-19 vaccine may now enroll.

Please note: Hospitals and Local Health Departments - If you have already completed an application via the previous fillable PDF enrollment form, you do not need to repeat an application.

Links to information and the online application may be found by clicking here.

Click here to read the full announcement sent out by Molina.