Baltimore County residents who want to be vaccinated should complete the form. Completing the registration request form does not create an appointment for a COVID-19 vaccination.
After completing the form, you will be contacted by County staff once you become eligible and when vaccines are available, with additional information about how to schedule your appointment.
If you are unable to complete the form, please ask a friend, neighbor or family member for assistance.
Please note: There is limited supply of vaccine nationwide. Please be patient as we work to provide everyone in our priority groups with an opportunity to make a vaccine appointment. Click on the link below to register: