New Mexico Department of HealthCOVID-19 Vaccine Provider Portal



Request Access:

To request access to the portal please fill out the information below.

Organization Name:
Account Administrator

Who is the individual responsible for completing the required agreements for the distribution of the COVID-19 vaccines for your entire organization?

First Name
Last Name
Email
Confirm Email
Phone
Confirm Phone

Thank you for requesting access to the portal. NMDOH will be reaching out shortly.