COVID-19 Vaccination Registration Form

Terms of Use

MyChart Vaccination Registration Terms of Use

Overview

Epic provides the MyChart Vaccination Registration website to allow you to share information to pre-register to schedule a COVID-19 vaccination appointment with a healthcare organization.

What does the MyChart Vaccination Registration website do?

  • Adds you to the waitlist for a COVID-19 vaccination. Your information will be added to your selected healthcare organization's COVID-19 vaccination waitlist. The waitlist will allow Epic and/or your healthcare organization to contact you when you are eligible to schedule a vaccination appointment.
  • Provides you with a reference code. Your reference code is a unique, auto-generated value that confirms your pre-registration and that you can use if you contact your healthcare organization about a potential vaccination appointment. Your reference code does not indicate, or have any bearing on, your place in line or your eligibility.
  • Helps healthcare organizations send you updates and notify you when it's your turn to make an appointment. Due to limited supply of vaccines, it may take months before everyone who is eligible can be vaccinated.

Does the MyChart Vaccination Registration website schedule my appointment?

  • No. Pre-registration does not schedule an appointment for you to get a vaccine—it is just the first step in the process.
  • Based on the availability of vaccines in your area and your eligibility, you will be contacted via an email or text message to schedule an appointment.
  • Submitting your information through this website does not guarantee a vaccination appointment. When you will be contacted to schedule a vaccination appointment depends on multiple factors, including your selected healthcare organization’s vaccine supply, the status of the phased vaccination rollout in your area, and the availability of appointments.

Please only pre-register once.

If you have already pre-registered for a vaccine with a healthcare organization, please do not submit another form to the same healthcare organization because this might delay the healthcare organization’s ability to schedule your immunization appointment.

Agreement

By using this website, you signify your agreement to these Terms of Use. If you do not agree to these Terms of Use, please do not use this website.

Any personal information you submit to this website (for yourself or someone else) is governed by these Terms of Use, the Privacy Statement, and your selected healthcare organization’s applicable privacy policies.

Communications

Your information will be maintained and used in accordance with these Terms of Use and the Privacy Statement. By submitting any information through this website, you are consenting to receive updates about your pre-registration status, vaccination appointments, and other important public health information from Epic and healthcare organizations. If you include an email, phone, or SMS address or number, you are consenting to receive communications through any or all of those means at standard messaging rates. Epic and healthcare organizations are not responsible for undelivered messages.

Breaches of these Terms of Use

While using this website, you agree not to engage in any of the following actions:

  • signing on as or pretending to be another person (note, this does not restrict authorized use of this website by guardians or other personal representatives);
  • using this website in a way that harms or could harm you or others;
  • collecting information about others;
  • intentionally distributing viruses or other harmful computer code;
  • attempting to (1) probe, scan, "hack", or test the vulnerability of this website or any Epic or healthcare organization system or network; or (2) breach any security or authentication measures on this website; or
  • using any "deep-link", "page-scrape", "robot", "spider", data mining tools, data gathering and extraction tools, or other automatic device, program, algorithm or methodology, to (1) access, acquire, copy or monitor any portion of the Website, or (2) in any way reproduce or circumvent the navigational structure or presentation of the Website.

Epic may terminate your access to this website if you violate these Terms of Use. To the extent there is an inconsistency between these Terms of Use and the Privacy Statement, these Terms of Use will govern.

Use by children

Epic does not knowingly allow minors under the age of 13 to use the features of the website.

Revisions, changes, and updates

Epic may revise the information on this website or otherwise change or update this website, including these Terms of Use, without notice to you. Epic may also make improvements and/or changes to the Website or add new features at any time without notice. Epic encourages you to periodically read these Terms of Use to see if there have been any changes to policies that may affect you. Your continued use of this website will signify your continued agreement to these Terms of Use as they may be revised.

Links to Third Party Websites

This website might provide links to other websites that are not owned or controlled by Epic ("Third Party Websites").

Epic is not responsible for the content, security, or privacy practices of Third Party Websites. Please review the privacy statement and any terms of use of each Third Party Website you visit. Links to Third Party Websites do not constitute or imply endorsement by Epic of those sites, the information they contain, or any products or services they describe.

Disclaimer and Limitation of Liability

Disclaimer of Warranties

EPIC PROVIDES THIS WEBSITE, AND ANY CONTENT, INFORMATION, SERVICES, OR PRODUCTS OBTAINED THROUGH THIS WEBSITE ARE PROVIDED "AS IS," WITH ALL FAULTS, WITH NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT. YOUR USE OF THIS WEBSITE IS VOLUNTARY AND AT YOUR OWN RISK. ANY REFERENCES TO SPECIFIC PRODUCTS OR SERVICES ON THIS WEBSITE DO NOT CONSTITUTE OR IMPLY A RECOMMENDATION OR ENDORSEMENT OF SUCH PRODUCTS OR SERVICES BY EPIC UNLESS SPECIFICALLY STATED OTHERWISE.

Limitation of liability

EPIC AND ITS AFFILIATES, SUPPLIERS, AND OTHER THIRD PARTIES MENTIONED OR LINKED TO ON THIS WEBSITE ARE NEITHER RESPONSIBLE NOR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, EXEMPLARY, PUNITIVE, OR OTHER DAMAGES (INCLUDING, WITHOUT LIMITATION, THOSE RESULTING FROM LOST PROFITS, LOST DATA, OR BUSINESS INTERRUPTION) ARISING OUT OF OR RELATING IN ANY WAY TO (1) THIS WEBSITE, (2) ANY CONTENT, INFORMATION, SERVICES, OR PRODUCTS OBTAINED THROUGH THIS WEBSITE, (3) ANY APP TO WHICH YOU AUTHORIZE EPIC TO RELEASE DATA (INCLUDING THE APP’S USE OF ANY DATA YOU MAKE AVAILABLE TO THE APP), (4) ANY THIRD PARTY WEBSITE, OR (5) YOUR USE OF ANY OF THE FOREGOING, IN EACH CASE WHETHER BASED ON WARRANTY, CONTRACT, TORT, OR ANY OTHER LEGAL THEORY AND WHETHER OR NOT ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. YOUR SOLE REMEDY FOR DISSATISFACTION WITH THIS WEBSITE, WEBSITE-RELATED SERVICES, APPS, AND/OR THIRD PARTY WEBSITES IS TO STOP USING THIS WEBSITE, APPS, AND/OR THOSE SERVICES.

TO THE EXTENT LAWS APPLICABLE TO YOU LIMIT OR PROHIBIT ANY DISCLAIMER OF WARRANTIES, LIMITATIONS OF LIABILITY, OR EXCLUSIONS FROM SUCH LIABILITY CONTAINED IN THESE TERMS OF USE, SUCH TERMS SHOULD BE READ TO APPLY TO THE GREATEST EXTENT POSSIBLE AS PERMITTED UNDER THE LAW APPLICABLE TO YOU.

Choice of law

These Terms of Use are governed by Wisconsin law without regard to its conflicts of law principles.

Last updated February 22, 2021

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