Fill out this form to be placed on a waitlist for the COVID-19 Vaccine. This is NOT an appointment scheduler. Once doses become available, you will be contacted with further instructions for booking an appointment. If you fail to respond to the appointment email within 24 hours you will be automatically put back at the end of the waitlist.

Please note that the pharmacy must act in accordance with local and state guidelines for vaccine eligibility:

Phase 1A: Health care workers, first responders, public safety, and residents and staff of nursing homes.
Phase 1B: Assisted living, adults age 75 and older, and educations and continuity of government.
Phase 1C: Adults age 65 and older and essential workers in lab, agriculture, manufacturing, and postal services.
Phase 2A: Adults age 60 and older.
Phase 2B: Marylanders ages 18+ with underlying medical conditions that increase the risk for severe COVID-19 illness.

For more information on the State of Maryland's COVID-19 Vaccine response please visit: https://covidlink.maryland.gov/content/vaccine/

REST ASSURED THAT YOUR NAME IS ON THE LIST. WE HAVE LIMITED STAFFING SO PLEASE ONLY CALL THE STORE TO BE REMOVED FROM THE LIST IF AND WHEN YOU RECEVE THE VACCINE AT ANOTHER LOCATION.