COVID- 19 Vaccine Appointment Request

The State of Maryland has launched a new platform for eligible Marylanders to pre-register to receive a COVID-19 vaccine at one of the state’s mass vaccination sites. Once pre-registered, Marylanders will be notified once an appointment is available, and will be able to verify their pre-registration status and reserve an appointment.


If you are part of the phase 1A, 1B or 1C priority groups for vaccinations as directed by the state of Maryland, you are eligible for a vaccine. With the exception of seniors and employees of the Washington County Public Schools, those in the priority groups should fill out this form for the local health department to be added to its list to receive a call about an appointment.

Washington County Public Schools employees - WCPS is making arrangements for its staff to receive vaccines in partnership with area health care providers. This information will be shared with all WCPS employees as details are finalized.


Please complete the form below to be contacted for a COVID- 19 vaccine appointment.

You will be contacted to schedule your vaccine appointment in the order in which your request has been received.

Please note that appointment scheduling of the COVID-19 vaccine is based on the availability of the vaccine being received. This process may take weeks based on availability of vaccines.