Second Dose Priority Access Form

Last updated 30 April 2021

If your first dose appointment took place at a mass vaccination centre on or before 21 February 2021 and you have not yet received your invitation to a second dose appointment then please use the form below to let us know, so that we can arrange this for you as soon as possible.

Please only complete this form if ALL the following criteria apply:

• You received your first dose of Pfizer/BioNTech or AstraZeneca on or before 21 February 2021
• You received your first dose at a mass vaccination centre in Powys OR you are a care home worker / frontline care worker who received their first dose through an outreach programme (e.g. in a care home)

This form is not for people who received their first dose via a GP practice: you will be contacted by your GP practice for your second dose appointment.

Information about how we process and store your data is available from the Privacy section of our website.