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Administration Consent

Moderna COVID-19 Vaccine

English
Moderna Vaccine Administration Consent (Clinic)

Emergency Use Authorization (EUA) of The Moderna Covid-19

Emergency Use Authorization (EUA) of The Moderna Covid-19 (PDF)

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Consentimiento para la administración

Autorización de uso de emergencia (EUA)

Autorización de uso de emergencia (EUA) – PDF

Emergency Use Authorization (EUA)
Autorización de uso de emergencia (EUA)

Questions?

Call us at 712.265.2500 or fill out the form below.

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This contact form is for general inquiries only and should not be used for urgent matters, medical advice, or scheduling appointments. If you need to schedule an appointment, please use the “Request an Appointment” option under Primary Care. For medical-related questions, please call the hospital operator at 712-265-2500.