The Queen's Health System

COVID-19
Care Center

Monday – Friday, 7:30am – 5pm;
Saturday, 8am – 2pm

Monday – Saturday, 7am – 5:30pm

COVID-19 Home

Javascript is disabled! This form requires javascript to be enabled to work properly.

First Name

Last Name

Employer

Phase 1c Occupation

Mobile Phone

I am interested in being on a standby list for unanticipated vaccine availability.

I understand that extra vaccine doses will usually be available 5:30 pm - 6:30 pm

I have a phone capable of text notification

I understand that I must respond within 30 minutes when notified

When notified, I can be available at the downtown Honolulu vaccination site within 30 minutes.