Register for a COVID Vaccine – NONPATIENTS

We have the Pfizer vaccines (ages 5 and up) in stock and available!

  • For family members of patients (e.g. parents and grandparents), please complete the form below.
  • Gateway Pediatrics patients should complete this form instead.

Any Marylander age 5 and up qualifies. You do not have to be a senior citizen, have a high-risk health condition, or work in a high-risk occupation! 

As of April 2022, the HRSA COVID-19 Coverage Assistance Fund is no longer accepting claims and you may be required to pay for your vaccination out-of-pocket, whether self-pay or insured. 

To register now, please complete the form below. 

Trouble with the form? Call us at 410-912-7000


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