COVID-19 Vaccination Program Provider Agreement

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The COVID-19 Vaccination Program Provider Agreement is now available. Iowa health care providers who intend to provide COVID-19 vaccines need to complete the COVID-19 Pandemic Vaccination Provider Agreement via a REDCap survey. The attached letter provides a link to the REDCap survey and information regarding IRIS enrollment. Additionally, attached is a Frequently Asked Questions (FAQ) document for assistance in completing the COVID-19 Pandemic Vaccination Provider Agreement. Please distribute these resources to your membership and partners.

Thank you for your consideration to provide COVID-19 vaccines to Iowa residents. Additional COVID-19 vaccine resources may be found on the Department’s COVID-19 Vaccine Information  page. Questions regarding the COVID-19 Vaccine Provider Agreement can be directed to the IDPH Immunization Program at 1-800-831-6293 or COVID19Vaccines@idph.iowa.gov.

COVID-19 Vaccine Provider Enrollment Letter
COVID-19 Provider Agreement FAQ