COVID-19 Vaccination Signup

COVID-19 Vaccination Signup
The COVID-19 vaccine is now readily available from several local pharmacies in the Oskaloosa area. Please contact a pharmacy below to receive your COVID-19 vaccine.

Mahaska Drug: Please call ahead to schedule your appointment 641-673-3439

Hy-Vee: https://www.hy-vee.com/my-pharmacy/covid-vaccine or walk-in during pharmacy hours

Wal-Mart: http://walmart.com/covidvaccine or walk-in during pharmacy hours

If you have any questions about COVID-19 vaccines, please call Mahaska County Public Health at 641-672-3257

Why should you get vaccinated? Click HERE for more information.
First Name *
Middle Name
Last Name *
Are you 65 or older? *

Yes No No, but I have medical conditions
The Moderna Vaccine is currently only approved for individuals that are 18 years of age or older.
Are you 18 or older? *

Yes No
Date of Birth *

Month Day Year
Date
Please check any of these medical conditions you have:

Diabetes mellitis Chronic lung disease (asthma/emphysema/COPD) Chronic kidney disease Autoimmune disease Disability (neurologic, neurodevelopmental, intellectual, physical) Heart disease High blood pressure Immunocompromised condition (weakened immune system) Cancer Down Syndrome Pregnancy Sickle Cell Disease Other
Phone Number *
Please enter a valid phone number.
Street address *
City *
State *
ZIP Code *
Please list any medical allergies
List any other recent vaccines in the last 2 weeks
Email

Confirmation Email Confirm E-mail Address
Do you require assistance upon arrival?

Yes
Should be Empty: