Internal Medicine, Primary Care, and Cardiology

We are NOT accepting WALK-IN appointments at his time.

If you are having trouble accessing the form via the link above, please enter your E-mail address below and we will email the link to you.

Every Californian 16 and up is now eligible for vaccination. Vaccination of people younger than 16 will start as soon as the COVID-19 vaccines are approved for them. For more detailed information about COVID-19 vaccine eligibility, please visit:

We will be providing the COVID-19 vaccine to eligible members of the community on a FIRST-COME, FIRST-SERVE basis. COVID-19 vaccine supply is based on availability from the state's third-party distributors. 

If you have not received any COVID-19 vaccine and are interested in getting the vaccine (first dose), please fill out the form below so we may add you to the waitlist. We will contact you to schedule an appointment once we have available supply of the vaccine.


If you have previously received the first dose of the COVID-19 vaccine, please follow up with the vaccine distribution site you first signed up with as we will not have the same vaccine available.

Vaccinations Every Thursday

COVID-19 Vaccine Availability:

Moderna (Individuals 18 years and older) - LIMITED Supply

Fact Sheet:

Janssen (Individuals 18 years and older) - LIMITED Supply

Fact Sheet:

Unfortunately, we will not be providing the Pfizer-BioNTech vaccine (Individuals 16 years and older).

If you have received the Janssen vaccine and develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination, please contact your healthcare provider.


Please complete the form below. By completing the form ahead of time, we hope to streamline the vaccination process.

COVID-19 Vaccine Form


Regional Physicians Medical Group