Homebound Vaccinations

If you are unable to leave the home to receive a COVID-19 vaccine or are the healthcare provider or family caregiver of someone who is homebound, you may request an in-home vaccination appointment by completing the form at covid19.nj.gov/homeboundvax.                                                                              

For assistance completing the form by phone, please call the NJ COVID-19 Vaccine Call Center at 1-855-568-0545. After you submit the completed form, the NJ Department of Health will share information with a home health agency, local health department, or other vaccination providers and you will be contacted to schedule an in-home vaccination appointment.