COVID-19 Vaccination Registration

The general public (age 18 and older) are eligible to fill out the registration form below to get on the waiting list. If you need assistance with filling out the registration form, call (712) 722-2609. Please only sign up once.

NOTE:  Please note, if you do not live in Sioux County or receive care through Sioux Center Health and live outside of Sioux County, please contact your local county public health department to obtain vaccination information for your county.


Vaccination Appointment Information:

Appointments are required and you will be contacted with your scheduled date and time as vaccines become available. All vaccination clinics are held on Fridays from 11 – 1 pm. Please bring your insurance information as there will be an administration fee and print and fill out the consent form. There will be no out-of-pocket costs for receiving the vaccine. Private insurance companies and government insurance programs like Medicare will full cover the cost of the vaccine. For those uninsured, it will be fully covered. A vaccination form is required to be filled out prior to receiving your vaccination.

Click here to download the consent form. (Spanish)

Click here to download the Johnson and Johnson consent form. Click here to read the fact sheet for the Johnson and Johnson vaccine

Those vaccinated will be required to remain for 15 minutes of observation after receiving the vaccine, with 30 minutes of observation being recommended for patients who have experienced a severe allergic reaction in the past, such as to oral medications, foods, bees, etc.

Registration Form