COVID-19 Vaccine

Released: 04/09/21

04/05/2021 –

Vaccine Administration Record Form and Checklist

  • Beginning Monday, April 5, 2021, people age 18+ who want to receive the vaccine at Winneshiek Medical Center can call us at 563-382-2911 between 8:00 am and 4:00 pm Monday- Friday to be added to our vaccine waiting list. As we receive vaccine supply from Iowa Department of Public Health, we will call people from this list to set up a vaccine appointment.
  • This waiting list is for first dose vaccines only. If you have received your first dose vaccine through WMC, we will call you to schedule the second dose.
  • Note: If you are on our vaccine list, but in the meantime receive the vaccine from another facility, please notify us of this change by phone or MyChart so we can remove you from our list.

For patients with a vaccine appointment:  Please print, fill out and bring the Vaccine Administration Record Form and Checklist to your scheduled vaccine appointment.

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