Here’s the form medically vulnerable Floridians need to fill out to get a vaccine

ORLANDO, Fla. — The Florida Department of Health released the form that medically vulnerable people need to have filled out by their doctors to receive the COVID-19 vaccine.

An order signed by Gov. Ron DeSantis earlier this week enabled licensed physicians, advanced practice registered nurses and pharmacists to vaccinate people “determined by a physician to be extremely vulnerable to COVID-19.”

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But since then there’s been confusion over how people need to prove that they are vulnerable to the virus.

Late Tuesday night, the Florida Department of Health released the form that people need to have filled out by their doctor to prove that they are eligible for the vaccine.

Some people said they were worried that they weren’t going to be able to get the form signed by the doctors in time for their appointments. And, they said, their doctor’s offices have were being flooded with calls from people they already given just regular notes to.

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“It’s so frustrating that they’re not informing us of anything,” said Christina Parente, who received a doctor’s note deeming her medically vulnerable.

DeSantis said the state chose not to publish a list of comorbidities that qualify people for the vaccine. Instead, he said, the state is putting the decision in the hands of doctors to decide who they believe qualifies as “extremely vulnerable” to the virus.

You can see the form below or click here to view it on the department of health’s website.

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People who meet the requirements are now able to get vaccinated at federally run vaccination sites as well as Publix pharmacies.

Publix said they will only require the form for appointments booked Wednesday or later starting on Friday.

Walmart said they’re following the governor’s executive order and will require the form for people who are medically vulnerable.

Sarah Wilson

Sarah Wilson, WFTV.com

Sarah Wilson joined WFTV Channel 9 in 2018 as a digital producer after working as an award-winning newspaper reporter for nearly a decade in various communities across Central Florida.

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