KTA Kamuela Pharmacy Waitlist for Moderna COVID-19 Vaccine
A new submission needs to be completed for each individual.
We are currently scheduling individuals in phase 1a and 1b ONLY. A pharmacy staff member will contact you to schedule an appointment.
Please make sure to fill out the entire form until you get to the last page that says "Thank you!" You should also recieve an email confirmation from Jotform.
Please be patient as we will work through this list based on the current priority group.