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COVID-19 Forms

COVID-19 - 'Leave Nobody Behind' form

This form is for citizens who may have missed their invitation for a COVID-19 vaccination. Please fill out this form if you are:

  • Over the age of 18, it has been more than 3 months since your 2nd dose, and you have not yet received an invitation for your Booster dose
  • Over the age of 18, it has been more than 8 weeks since your first dose, and you have not yet received an invitation for your 2nd dose
  • Between the ages of 12 and 17, it has been more than 12 weeks since your first dose, and you have not yet received an invitation for your 2nd dose
  • Over the age of 12 and have not yet received an invitation for your 1st dose

If you do not fall into any of these groups, but still feel like you have been missed please call us on 02921 841 234, 8am-8pm 7 days a week and we can help further.

Alternatively, if you are over the age of 12 and have not yet had an invite for your 1st dose, or over the age of 18 and not yet been invited back for your 2nd more than 8 weeks after your 1st, you can attend our walk-in sessions in Bayside MVC (Olympian Drive, Cardiff, CF11 0JS) any day 8:30am to 7:30pm. Please note that we do not offer walk-in booster appointments at this time.

COVID-19 - 'Leave Nobody Behind' form 

(Mae’r Ffurflen yma ar gael yn y Gymraeg)

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