Free In-Home Vaccines Available

FREE In‐Home COVID‐19 Vaccines are now available for Seniors & Tennesseans with Disabilities:

A Partnership with the Tennessee Commission on Aging and Disability (TCAD) & Home Health Agencies

What is this program:  

Seniors and Tennesseans with disabilities (over the age of 18) can now get a free COVID‐19  vaccine in their own home!  

∙ They do NOT have to prove their age, disability or citizenship. 

∙ “Senior” means anyone age 60 and older.   

∙ “Disability” means any kind of diagnosis, chronic illness, special healthcare need or  disability.   

∙ Caregivers or anyone (over the age of 18) living in the same home as a senior or person  with a disability can also get vaccinated through this program! 

∙ This program is available anywhere in the state of Tennessee.  

∙ Vaccine provided will be the one‐time Johnson & Johnson vaccine. There will be no need  for a second follow‐up appointment.  

The preferred way to refer someone who wants a vaccine to this program is for a trusted  organization to input their information on the online form provided:  

https://stateoftennessee.formstack.com/forms/inhomevaccinations

However, the individual can also complete the form on their own and simply include the name of the referring organization in the space provided.  

How does this program work?  

  1. Complete the online form with contact information for the senior or person with a  disability wanting a vaccine.  
  2. TCAD receives the form and directs it to the home health agency closest to the person  wanting a vaccine.  
  3. The home health agency calls the phone number provided on the form to schedule an  in‐home vaccine appointment.  

*Please note: in some cases, it may be up to four weeks before the person wanting a vaccine gets a call back to schedule their appointment.  

Tips for organizations using the online form:  

∙ Fill out one form for each person who would like to be vaccinated (ex: if there are 5  people living in the home, one of whom has a disability, complete 5 forms).  ∙ You must input a phone number and mailing address on the form – this is what TCAD  needs to move forward.  

∙ When entering the phone number on the form, do NOT input dashes (ex: input  6152345678 NOT 615‐234‐5678).  

∙ If the preferred language for the person wanting a vaccine is a language other than English, input that on the form. To schedule their vaccine appointment, the home health agency will use a translation service to contact them in their preferred language.  

∙ Your organization will not get to keep a copy of data input on the form. The data will go to TCAD, which will direct it to the home health agency in the area closest to the person wanting a vaccine. No personal information will be shared for any purpose other than helping the individuals who asked for help to get vaccinated.   

∙ If a community member is not willing to provide their exact age, as long as you input “18” if they have a disability, or “60” to qualify as a senior, they will be eligible for the program.  

∙ You do NOT have to speak with the individual or ask the additional COVID‐19 related questions on the form. The home health agency will ask for that data. However, if you are able to, the more information you can input on the form the better.  

∙ If a senior or person with a disability already has an appointment for a vaccine, but needs transportation to get it, identify that on the form. When TCAD receives this form,  they will reach out to provide free transportation resources.  

∙ If you are completing the form for a caregiver or person over 18 years of age who lives with a senior or person with a disability, simply add that note in the  

“Questions/Comments” box.  

∙ Caregivers/in‐home family members will NOT be asked for information about their relationship to the senior or person with a disability, nor for proof of residency or proof of citizenship.  

∙ Feel free to share the online form and this tip sheet with other organizations.