Special notice: Memorial Hermann has been selected by the State of Texas to serve as a vaccine hub. We are working to finalize plans about the vaccine hub, which will include additional opportunities for members of our community to schedule a vaccine appointment with a focus on making the vaccine available to the hardest hit zip codes and demographics. We will be limited by vaccine supply. For additional information, please check back here, email questions to covidvaccine@memorialhermann.org or call (833) 772-2864.

Memorial Hermann COVID-19 Vaccination Request Form

As a State-designated COVID-19 vaccine distribution hub, Memorial Hermann invites all members of the community to register for the opportunity to receive the COVID-19 vaccine at a Memorial Hermann vaccination clinic.

Registered individuals who meet eligibility for vaccination will be notified when appointments are available. Memorial Hermann will make appointments available based on vaccine supply and will prioritize vaccine distribution in accordance with guidance from the Texas Department of State Health Services. Due to the limited supply of vaccine, it may be an extended period of time before you have the opportunity to get vaccinated at Memorial Hermann. If you have the opportunity to receive vaccination elsewhere in the meantime, we encourage you to do so.

Register Now

Please read below to learn if you are currently eligible to receive vaccination at Memorial Hermann and to review the vaccination registration process.

All members of the community 16 years of age and above may complete Memorial Hermann’s COVID-19 Vaccination Request Form. Registered individuals will be notified when vaccination appointments are available for them. Per the State, effective March 29, 2021, all adults are eligible for COVID-19 vaccination at Memorial Hermann.

Memorial Hermann’s COVID-19 Vaccination Request Form is only available for individuals needing their first dose of the COVID-19 vaccine. If you received your first dose outside of Memorial Hermann and are unable to receive your second dose at that same location, please call Memorial Hermann’s COVID-19 Vaccine Helpline at (833) 772-2864 for guidance.

Yes, individuals who receive an invitation to schedule vaccination can select a location for their appointment based on the vaccine being administered at that clinic.

Once you complete Memorial Hermann’s COVID-19 Vaccination Request Form, you will be placed on a waitlist for future appointments at Memorial Hermann’s vaccination clinics. Memorial Hermann will make appointments available based on vaccine supply and will prioritize vaccine distribution in accordance with guidance from the Texas Department of State Health Services. Individuals will be notified when appointments for vaccination become available. A link to schedule your vaccination will be sent to you via text message and/or email based on the communication preferences you enter when completing the request form.

Please keep in mind, due to the limited supply of vaccine availability, it may be an extended period of time before you are notified of appointment availability. In the interim, should you have the opportunity to receive the COVID-19 vaccine elsewhere, you are encouraged to do so. 

No. Individuals only need to complete the request form once and will be notified when appointments are available. Completing the form multiple times will not affect how soon you receive an appointment.

When available, appointments will be filled on a first-come, first-served basis. If you cannot schedule your vaccination due to appointments being full or for any other reason, your name will be added back to the waitlist. You will be invited three times before being removed from the waitlist.

Click here to complete Memorial Hermann’s COVID-19 Vaccination Request Form. You will be asked to enter up-to-date contact information and your birthdate, and select which eligibility criteria you meet for vaccination, if applicable. Please follow all prompts and complete all steps until you have received confirmation that your COVID-19 vaccination request is complete.

Completing the Request Form and Scheduling an Appointment After Receiving an Invitation

Unfortunately, we are unable to correct mistakes and typos in the request form. If you believe you have made an error, please complete a new request form with the correct information.

Yes. You may enter your email address and/or mobile phone on behalf of your loved one. However, please ensure all other information entered applies to your loved one, including first name and last name (as they appear on his or her photo ID), date of birth and eligibility criteria, if applicable.

After receiving an invitation to schedule your appointment and successfully scheduling vaccination, you will receive an automated confirmation text message from (281) 214-6637, which should arrive immediately, or by email from MHVaccination@memorialhermann.org, which typically arrives within minutes but may take up to an hour to arrive depending on your email service provider.

Please call Memorial Hermann’s COVID-19 Vaccine Helpline at (833) 772-2864.

When you scheduled your vaccination, you should have received an automated confirmation text message from (281) 214-6637 or email from MHVaccination@memorialhermann.org. If you cannot find your confirmation, please call Memorial Hermann’s COVID-19 Vaccine Helpline at (833) 772-2864.

We strongly encourage you to keep your current appointment date and time. However, we understand circumstances can change. If you need to reschedule your appointment, locate the appointment confirmation that was sent to you via email from MHVaccination@memorialhermann.org and click on “Cancel My Appointment.” You will be able to reschedule after your initial appointment has been cancelled.

Memorial Hermann will automatically schedule your second dose at the time you receive your first dose based on the manufacturer’s guidelines. No action is needed on your part.

When you receive an invitation to schedule your vaccination appointment, you will be provided with the option to remove your name from the waitlist. In the meantime, no action is needed on your part.