Vaccination Request

You can use this form to request a Covid-19 vaccination if you have been directed to this page and live or work in Norfolk or Waveney. The data you provide will be stored by Norfolk County Council and shared with the NHS, to enable them to arrange your vaccine. If you are applying for a vaccine because you are a carer, the NHS will update their records to record this.

This form can be used:

  • To request a vaccine because you are a carer (paid or unpaid)
  • To apply for slots at the Cromer, James Paget and Queen Elizabeth hospitals, if you are over 50.

For all other Covid-19 vaccinations, please use the NHS national booking system

If you are experiencing issues using this service then please contact vaccineplanning@norfolk.gov.uk















Please provide either your NHS number or your GP practice


How to find your GP Surgery - https://www.nhs.uk/service-search/find-a-gp







Good Rate as Good
Average Rate as Average
Poor Rate as Poor

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