Covid-19 Vaccination Registration

HealthSource is accepting new vaccine requests according to State of Ohio guidelines (individuals age 18 and older). We have availability at multiple sites for your convenience.

To schedule a Covid-19 vaccine, call the following phone number for the county which you live, leave a detailed message (including the best number where you can be reached) and one of our team will call you back:

937.444.8004 - Adams County
937.444.8009 - Brown County
513.732.5081 - Clermont County
937.444.8002 - Clinton County
740.335.8490 - Fayette County
513.707.9811 - Hamilton County
937.444.8003 - Highland County
513.707.9812 - Warren County


Complete the Vaccination Request Form below. Please make sure to indicate on the form if you are requesting a 2nd Moderna vaccine. Once your appointment is made, please make every effort to show. If you have received a vaccine at another location, please call to cancel your appointment with us so that we can get others in.

Business Availability. We can come to you! In the fight against COVID-19, HealthSource is now partnering with area businesses to offer Moderna vaccination options for companies over 10 employees. A vaccine team can conduct vaccinations at your place of business so that it is easy, safe and convenient. Please pass this information to all friends, family, colleagues, and peers in the community. Please call 513-732-5081 and one of our team members will get back to you.

We are unable to schedule vaccines through email or social media. Thank you!

***Please note - HealthSource of Ohio only has Moderna vaccine.

Covid Vaccine Request Form

  • Please enter your first name.
  • Please enter your name.
  • Please enter the Date Of Birth
  • Please enter the county where testing will take place.
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    Please enter your phone number.
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