Ask to be phoned back for an appointment

In order to be eligible for the covid-19 vaccination campaign and use this form, you must be :

  • Monegasque or Monaco resident
  • Aged over 12
Title*

Day / Month / Year

The vaccination campaign is reserved for people residing in Monaco.

Genuine travel difficulties*
Age range*
Are you pregnant? (2)*

* Mandatory Field

(1) Minors must be accompanied by their legal representative as well as a duly completed authorization, downloadable below

 

 

(2) A medical prescription established by a specialist in gynecology and obstetrics is required.