COVID-19 Vaccine Registration

At this time we are unable to complete your registration for the COVID-19 vaccine as you are not yet eligible per North Carolina guidelines. Please check back and register once your state’s eligibility criteria has expanded. For a current list of eligible groups in North Carolina, please visit our COVID-19 Vaccinations website

At this time we are unable to complete your registration for the COVID-19 vaccine as you are not yet eligible per Georgia guidelines. Please check back and register once your state’s eligibility criteria has expanded. For a current list of eligible groups in Georgia, please visit our COVID-19 Vaccinations website.

At this time we are unable to complete your registration for the COVID-19 vaccine as you are not yet eligible per South Carolina guidelines. Please check back and register once your state’s eligibility criteria has expanded. For a current list of eligible groups in South Carolina, please visit our COVID-19 Vaccinations website.

At this time we are unable to complete your registration for the COVID-19 vaccine as you are not yet eligible per Tennessee guidelines. Please check back and register once your state’s eligibility criteria has expanded. For a current list of eligible groups in Tennessee, please visit our COVID-19 Vaccinations website.

Please Enter Recaptcha

Please Enter First Name

Please Enter Last Name

Please Enter Your Complete Phone Number

Please Enter A Correctly Formatted Email

Please Select a DOB Day

Please Please Select a DOB Month

Please Select a DOB Year

Please Enter State

Please Select A Pharmacy

Please Enter A Profession

Please enter job description below

Have You Been Diagnosed With A Chronic Condition?

In Which State Do You Plan To Receive Your COVID-19 Vaccine:
Choose One Georgia North Carolina South Carolina Tennessee

*First Name

*Last Name

*Date of Birth
Month January February March April May June July August September October November December Day 12345678910111213141516171819202122232425262728293031 Year 20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900

*Phone Number

Only Numbers (ex: 8285551234)

*Email

---

Select Your Current Profession:   (View Essential Workers & Others list NC)
(View Essential Workers & Others GA)
(View Essential Workers & Others TN)
(View Essential Workers & Others SC)
Choose one Education (teachers, support staff, etc.) First Responders (police, fire, etc.) Health Care Worker Not Working / Retired Essential Workers & Others Eligible (as defined by your state) Other Workforce Members Other Specified Currently Eligible Groups

If Other, please enter your current occupation

Have you been diagnosed with a chronic condition? (e.g. Cancer, COPD, Serious Heart Conditions, Diabetes, among others)
Yes    No

Have you been diagnosed with a chronic condition? (e.g. Cancer, COPD, Serious Heart Conditions, Diabetes, among others)
Yes    No   

Submit Registration

Why should you get your COVID-19
Vaccination from Ingles Pharmacy?

Safety

Highly trained Ingles Pharmacists & Technicians follow stringent COVID-19 safety procedures for vaccine administration as advised by the CDC.

Knowledgeable Staff

Our Knowledgeable pharmacy teams are staying up to date on the latest COVID-19 vaccine developments & recommendations.

Convenience

Schedule your vaccination during a shopping trip, and get an alert when it’s time for your second dose.