1 Actuel: Page 1 2 Page 2 3 Aperçu Personal health information on this form is collected for the purposes of the provision of health care. Your information will be collected, used and disclosed only as permitted by the Health Information Act, RSPEI 1988, c H-1.41, and other applicable legislation. For more information on privacy and your personal health information, visit www.healthpei.ca/yourprivacy or contact 1-888-561-2233. Vaccinations are currently being given to certain target population groups. Do not complete this form unless you belong to the target group(s) listed below. Your request will not be processed if you are not in the target group(s). Do you belong to the current target group? Check to see if you are in the current target group. - Sélectionner -YesNo Which current target group do you belong to? - Sélectionner -Seniors 80 years of age and olderI don't belong to any of these groups You cannot register for vaccination at this time. You must register at a later date. The vaccine will be rolled out to target population groups. The vaccine will eventually be available to all PEI residents 18 and older who wish to be immunized against COVID-19. Read more about vaccination target groups.