The general public can now fill out the registration form below to get on the waiting list. If you need assistance with filling out the registration form, call (712) 722-8345 Monday – Friday from 9 A.M. – 12 P.M. Please only sign up once. 

COVID-19 Registration Form

While we understand the desire for many to receive this vaccine, we ask that you be patient as we work through this process and wait to be contacted for your schedule appointment to be vaccinated. Please do not overwhelm the phone line with general inquiries.