Vaccine Information

Please print and fill out the forms below if you have an appointment to receive a COVID-19 vaccine.

Riley County Vaccine Administration Form 

RCHD Universal Consent Form - PDF


Appointment Instructions

A limited number of COVID-19 vaccines are now available for Phase 2 distribution in Riley County. Some people, ages 65+ who signed up using the pre-registration system are now eligible to receive the first dose of the COVID-19 vaccine. 

WHO: Only the person who received the notification is eligible to receive a vaccine during the listed appointment time due to limited supply. 

WHAT: A vaccine clinic is taking place where you can receive your vaccine. Details were provided in the message you received either via email/ text/ or a phone call.

WHERE: Report to CiCo swimming pool parking lot (3309 Robinson Dr.) / Vaccine Clinic Pottorf Hall (please see map below)

WHEN: Please come between the time frame listed in the communication sent to you from the Health Department. 

WHY: You were contacted because you signed up to receive the coronavirus vaccine through the Riley County Health Department website.


  1. Please check-in at the CiCo swimming pool parking lot (3309 Robinson Dr.)  We are requesting that you enter at the Wreath and Robinson entrance. (please see map below) 
  2. Please bring a valid government-issued ID and completed paperwork (please see links above)

    1. If you do not have access to a printer, paperwork can be picked up at the following locations: 

    2. Douglass Center, Manhattan

      Manhattan Public Library

      Manhattan City Hall

      Leonardville City Hall

      Ogden City Hall

      Ogden Community Center

      Randolph City Hall

      Riley County Office Building

      Riley County Senior Center

      Riley City Hall

      Riley Library

      Riley Post Office

  3. Once you arrive your appointment will be verified and you will be given further instructions depending on the crowd size and traffic flow. 

  4. Staff will provide directions in regard to entering Pottorf Hall to receive your vaccine.  When it's your turn staff will direct you to a parking stall outside Pottorf Hall. 

  5. You will walk inside utilizing the east entrance to the building, present your ID and your completed release forms. If you need assistance entering the building please let staff know.

  6. Inside the building, a nurse will give you the shot and a card with your vaccine information. 

  7. You will be asked to wait for a 15-minute observation period before you should leave. 

Important things to know about receiving your vaccine:

  • Please bring a government-issued ID to your appointment

  • Only people on the list will be able to receive the vaccine during this appointment time. 

  • If you can’t make your appointment time, your name will remain on the list and you will be contacted to sign up for future clinics. 

  • Please allow plenty of time for this appointment. 

Thank you for signing up to receive the vaccine. We are working diligently to vaccinate those in our community to help fight against the spread of coronavirus. 

What to Expect After Your Vaccine

The vaccines may cause side effects in some people, like sore muscles, feeling tired, or mild fever. These reactions mean the vaccine is working to help teach your body how to fight COVID-19 if you are exposed. For most people, these side effects will last no longer than a day or two. Having these side effects does not mean that you have COVID-19.

updated CICO MAP