Updates | CovidKY

Utilize this form to have changes put into the queue. If the changes are submitted before noon, the task will be completed that day. If it is after noon, the request MAY BE completed today but WILL BE completed by noon the next day.

ALL REQUESTS FOR CHANGES MUST BE SUBMITTED BEFORE NOON ON FRIDAY TO BE COMPLETE BEFORE MONDAY MORNING.

Health Department Name*
Contact Email*
Scheduling (the number of appointments per time slot (i.e. 9:30-9:45) must be the same for all time slots. So if you want 10 appointments per 15 min. all time slots must be that as well:
Will this be a new form?
- Yes
- No
Which form is this for?
- First Dose
- Second Dose
- Single Dose J&J

Schedule

Date	Start Time	End Time	Number of Appointments	Notes	Actions

There are no Schedules.

Cancel Appointments
Name Confirmation Number First Dose or Second Dose Notes
Appointments to Remove
Name
First Last
Date
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Misc. Changes:
Let us know what we need to modify for the form(s) that aren't specified above.
Changes to export spreadsheet file
Recipients
Recipients Email Actions
There are no Recipients.
Maximum number of recipients reached.
Add additional frequency of report export
List additional times of day to receive the report

Name	Confirmation Number	First Dose or Second Dose	Notes

Recipients Email	Actions

There are no Recipients.