Page County Iowa - COVID-19 Information

Distribution plan: Click Here to View the Document
65 Years of Age and Older (Phase 1B): https://hipaa.jotform.com/210186548288161
Phase 1B Essential: https://hipaa.jotform.com/210195344488157
Phase 1C Essential: https://hipaa.jotform.com/210195100490140
18-64 Years of Age with High Risk Medical Conditions (Phase 1C): https://hipaa.jotform.com/210195008090143
Online Fillable Covid-19 Vaccination Consent/Decline: https://hipaa.jotform.com/210186304890150
Printable Consent Form: Click Here to Download the Form
Printable Screening Checklist: Click Here to Download the Form