Vaccine Interest Form (Pre-register)

If you are interested in receiving the COVID-19 Vaccine from the Frederick County Health Department you will need to complete this form Frederick County COVID-19 Vaccine Interest Form.

Completing this form does NOT register you to get the vaccine. 
The Frederick County Health Department will contact people who have completed this form as the Health Department receives more vaccine and moves to different priority groups for vaccination. When you are contacted you will need to register for your appointment online.
Older adults without internet access may call 301-600-7900. Spanish speakers may call 301-600-7905.
Phone lines are open Monday-Friday, 8:00 a.m.-5:00 p.m. 
Call Center Frequently Asked Questions

For more information visit the Frederick County Health Department's webpage.