Vaccine Interest Form
Submitting this form does not guarantee availability of COVID-19 vaccine. However, it will allow us to notify you when the vaccine is available and provide you with information on scheduling an appointment. You only need to fill out this form once to be added to our waitlist.
Vaccine administered in Jones County is manufactured by Moderna. This vaccine is only approved for individuals 18 years and older. It is administered via two injections at least 28 days apart.
All fields are required.
Map · Jones County Public Health
105 Broadway Pl. · Anamosa, IA 52205