MONKEYPOX VACCINE Eligibility/SCREENING form

Anchor Health has been selected as one of 13 sites in Connecticut to administer the Jynneos monkeypox vaccine. Due to extremely limited supply, vaccination is prioritized for individuals at the highest risk of exposure to someone with monkeypox.

To be considered eligible for the vaccine, individuals must live in Connecticut and show proof of residence, e.g., a valid photo ID or piece of mail addressed to you.

Individuals who meet the following criteria are eligible for the monkeypox vaccine:

  • Have had a confirmed monkeypox exposure, or
  • Gay, bisexual, or other men who have sex with men, and/or trans, gender nonconforming, nonbinary, who are ages 18 or older, and have had multiple or anonymous sex partners in the last 2 weeks.

If eligible, individuals should especially consider getting vaccinated if they:

  • Have had recent intimate contact with a partner who is showing symptoms of monkeypox, such as a rash or sores; or
  • Had recent intimate contact with a partner met through an online application or social media platform (such as Grindr, Tinder, or Scruff), or at clubs, raves, sex parties, saunas or other large gatherings; or
  • Have a condition that may increase their risk for severe disease (HIV or another condition that weakens your immune system, history of atopic dermatitis or eczema).

More information about considerations for the monkeypox vaccine is available through the Connecticut Department of Public Health’s monkeypox webpage.

The vaccine is free, and no insurance is required.

Vaccine screening

If you meet the eligibility criteria, please fill out the screening form below. Please note that we are contacting and scheduling eligible individuals in the order that they are received.

We have been experiencing some delays in scheduling due to supply constraints. Please refrain from calling the office to check on your status in line. We apologize for any inconvenience.