COVID-19 Vaccine Request 

Eligibility: At this time, Piedmont Medical Center, in accordance with South Carolina DHEC guidance, is coordinating COVID-19 vaccinations for individuals indicated by SC DHEC as eligible for vaccination. 


Location of the Vaccination: Galleria Mall, 2295 Dave Lyle Blvd, Rock Hill, SC 29730, in the space formerly occupied by Home South and Goody’s. Operating hours are Tuesdays through Fridays from 9 AM to 4 PM by appointment only. Parking and entrance to the clinic space is available on the rear side of the mall, between Walmart and the mall entrance. The location is also served by My Ride, Rock Hill’s free, fixed route transit system. Take Route 4: Dave Lyle/Galleria Line to the stop at Galleria Mall @ Cordova Rd.

Piedmont Medical Center is administering the Pfizer vaccine at this community clinic location.

Portal Access Request: Eligible individuals will need to complete the form below. Only one person per form. Once complete, you will receive a separate email with details about next steps to register for vaccination from the Centers for Disease Control and Prevention (CDC) via the Vaccine Administration Management System (VAMS) portal in 24-48 hours. **If you do not receive an email from the CDC within 48 hours of submitting this form, please call 803-980-2684 during the vaccination clinic's operating hours (Tuesday through Friday 9AM to 4PM).

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*Each individual completing this form must have their own unique email address.


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