M & T Bank Stadium

Confirm Eligibility

Please answer this series of questions to help us to confirm your current eligibility to receive the COVID-19 vaccine. If an answer to a question indicates you are eligible, the next question will automatically appear.


Finally, you will be asked to check the Verify box, confirming your eligibility. When you check the box, a scheduling calendar will appear for you to schedule your vaccination, if appointments are currently available.

I certify that I am at least 18 years of age, or the parent or legal guardian of the minor patient.

Informed Consent*

I have read the relevant links available on this page and hereby give my consent to the licensed healthcare provider administering the vaccine, as applicable (each an "applicable Provider"), to share my personal, demographic and health condition information in order to provide me with vaccination services for the COVID-19 vaccine. I understand that the health data shared within this questionnaire will be used to determine my eligibility for receiving the COVID-19 vaccination and further determine timing of when the vaccine will be made available to me.

Please read:

Yes, I confirm that I have read the EUA Fact Sheets and Maryland Department of Health Privacy Policy.

Is the recipient of the vaccine 16 or older?*

Is the person getting the vaccination appointment over the age of 16?

No
Yes

Are you included in one of these groups?

  • Adults age 65 and older
  • All licensed, registered and certified health care providers
  • Front line hospital staff
  • Nursing home residents and staff
  • Individuals with intellectual and developmental disabilities
  • Assisted living, independent living, behavioral health and developmentally disabled group homes, and other congregate facilities staff
  • Law enforcement and firefighters, EMS
  • Education staff, including K-12 teachers, support staff and daycare providers
  • Correctional health care staff and officers
  • Public safety workers not covered in Phase 1A
  • Health care workers not covered in Phase 1A, including but not limited to lab services, public health, vaccine manufacturing and other health care professions
  • Front line judiciary staff
  • Continuity of government
  • Food/agriculture production, critical manufacturing, U.S. Postal Service, public mass transit, grocery store employees
  • Veterinarians and support staff
  • Clergy and other essential support for houses of worship
  • Individuals who are currently receiving hospital-based treatment, including in hospital outpatient centers, AND diagnosed with at least one of the following conditions:
    • Cancer patients currently in active treatment
    • End stage renal disease patients requiring hemodialysis
    • Chronic Obstructive Pulmonary Disease (COPD)
    • Solid organ transplant recipients
    • Sickle cell disease patients
    • Diabetic patients (Type 1 and Type 2)

GoVax - Let's End COVID, Maryland