Register for a COVID Vaccine

Make an appointment for your child to receive a COVID Vaccine starting in July

  • For patients of our practice (ages 6 months – 21), please complete the form below
  • For adult family members of our patients who would like to receive the vaccine (e.g. parents and grandparents) should complete this form instead.

Any Marylander age 6 months 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. If you are self-pay, please go to your local Health Department.

To register now, please complete the form below. 

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


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