Please answer the questions below, to update us on your progress towards vaccinating your residents and staff for COVID-19.

Please identify a single person in your facility to do this reporting on a weekly basis.

If you are responsible for multiple facilities (e.g., nursing facility and assisted living facility), you will need to complete a separate survey for each.

By reporting on your facility’s behalf, you will help the Minnesota Department of Health (MDH) improve communication, distribution, and support for COVID-19 vaccination. The form will take less than 5 minutes to complete if you have the information at hand. Although completion of this reporting is voluntary, these data are important to state efforts to ensure a robust COVID-19 vaccine rollout to Minnesota's most vulnerable. The choice to participate will have no impact on the relationship between your facility and MDH. Aggregate facility data on vaccination are public by classification. Individual facility data might be used by MDH to provide direct vaccination support to facilities or regions.

If you have a time-sensitive question about vaccination in long-term care settings, please email health.covid.vaccine@state.mn.us.

If you would like to add staff to the reminder distribution list, please email health.seocltc@state.mn.us.

Thank you!

SEOC LTC Response Leaders

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