COVID-19 Vaccine

VACCINATION INTEREST FORM

If you are interested in receiving the COVID-19 vaccine, please complete this form:

Frederick County COVID-19 Vaccine Interest Form 

Completing this form does NOT register you to get the vaccine. 

  • We will contact people who have registered on this form by priority group as we receive more vaccine. 
  • You will be contacted by the email you provide in the form. When you are contacted, you will need to register for your appointment online. 
  • You only need to complete the form once.  
  • It may be several days, weeks, or longer until you are contacted since it depends on vaccine availability.

Frederick County is currently vaccinating: 1A and people 75 years and older who live or work in Frederick County



  1. Please do not go to the clinic if you are on the waiting list unless you are contacted and given an appointment.
  2. If you need someone to accompany you to your appointment for assistance, they will not be able to get a vaccination if they do not have an appointment.
  3. We have enough vaccine for all appointments that are scheduled, but not for all the people who accompany persons who have a scheduled appointment.
  4. Please arrive at the clinic location no more than 10 minutes before your scheduled appointment. Arriving earlier can cause long lines.

If you cannot make your appointment online:
Appt Call Center

Please note: 

    • If someone you know cannot complete the Frederick County COVID-19 Vaccine Interest Form themselves, please help them complete it and help to make an appointment when they are contacted. 
    • If you cannot find assistance, please call 301-600-7900 for English or 301-600-7905 for Spanish to schedule your appointment by phone. The call center is open Monday through Friday, 8am to 5pm. We are experiencing high call volume! Please try back if you cannot get through. If there are no appointments currently available, you will hear a message to check back later. An email address is required.  This could be the email of a family member or caretaker. 


What proof do I need to bring with me?

  • 1A: Proof can be: a work identification badge, a note on practice letterhead or a prescription pad, a list on letterhead of workers at practice, or a copy of your state license. 
  • 1B:
    • 75+: Bring identification to prove your age.
    • Other groups in 1B: please wait for more guidance. 


Who's in 1A?

1A includes: first responders (career, volunteer, and commercial EMS professionals, firefighters, police officers, corrections officers and 911 dispatchers), nursing home residents and staff, front line judiciary staff, and all healthcare providers who are licensed, registered, and certified in Maryland who live or work in Frederick County. 


Who's in 1B?

Due to our limited amount of vaccine and Governor Hogan’s request that we prioritize our senior populations first, at this time we are still only vaccinating people in 1B who are 75 years and older.

Maryland residents who are 75 years and older; Marylanders in assisted living, independent living, developmental disabilities/behavioral health group homes, and other congregate facilities; high-risk incarcerated individuals; continuity of government vaccinations; and education, including K-12 teachers, support staff, and child care providers.


When are we getting to the next phases?

  • 1B starting Jan. 18, 75+ first
  • 1C starting - date pending


For more information about the Maryland Vaccination Plan, go to https://coronavirus.maryland.gov/pages/vaccine.

Vaccine Priority Groups

Frederick County Survey on Vaccine Interest

Thank you for your participation in our survey on vaccine interest! Our English survey received 20,580 results and our Spanish survey received 269. Over 50% of people who responded said that they were planning on getting the vaccine as soon as it became available to them. Of those respondents who said they weren’t sure or were not planning on getting the vaccine immediate, the most common concerns were about safety and side effects. There were thousands of comments written in, and we will use the information from the survey to help develop our messaging to make sure we’re answering the questions that you have asked.

More information about the survey results can be found here: