Phillips Temple Church COVID-19 Vaccine Clinic Scheduling Request

(operated by Miami Valley Hospital) 

The arrival of the COVID-19 vaccine brings hope and anticipation for better days ahead. Premier Health is currently offering vaccinations in accordance with Ohio Department of Health eligibility requirements. Ohioans age 16 and older are now eligible. 

Vaccine appointments are currently being scheduled for a vaccine clinic at 3620 Shiloh Springs Rd., in Trotwood on April 24, 2021. Vaccine appointments will be offered from 10 a.m. to 4 p.m. 

To begin the scheduling process, please complete the form below. Based on availability, a scheduling team representative from Premier Health will contact you.  Individuals will be contacted in the order in which completed forms are received. 

Please note that we are working to vaccinate our community members as possible as quickly as possible. The number of people who can be vaccinated will depend on the amount of vaccine available.

We are pleased to have received an enthusiastic response from individuals eligible for vaccination, and we are working to accommodate those requests through appointments as quickly as we can. An appointment is required to receive the COVID-19 vaccine.

Thank you.