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**If you need to come at a different time we may be able to accomodate you. Please call to request a time outside of your appointment time.
If you have remaining questions, please call us at 515-961-5303.
You are signing up for a TWO DOSE vaccine (Moderna). This form can ONLY be used for the FIRST DOSE. If you need a SECOND dose, please stop and exit this form. Contact the vaccine provider that administered your first dose.