Health & Human Services COVID-19 Vaccination Wait List

Health & Human Services COVID-19 Vaccination Wait List
This wait list is for Mower County residents 65 years and older.
Please complete the wait list form below and press "submit". You will be contacted via the e-mail address you provide on the form when it is time to schedule your COVID-19 vaccination appointment date and time.

The supply of the vaccine is currently very limited, therefore, no one is guaranteed to receive the vaccine by completing this wait list form.

For questions, please call 507-437-9701. Thank you.
Name *

First Name Last Name
Date of Birth *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Should be Empty:

This wait list is for Mower County residents 65 years and older.