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  • COVID-19 Response Team

Caroline County Launches New COVID-19 Vaccine Eligibility Screening Form

Caroline County has released a new COVID-19 Vaccine Eligibility Screening Form. All Caroline residents in Phases 1 and 2 who want to receive a COVID-19 vaccination should complete the form. Phase descriptions are available on the State’s COVID website.

The form is available online at Residents who do not use a computer are encouraged to have a family member or friend complete the form on their behalf.

If you don’t have someone who can help you, you can contact the Caroline COVID-19 Call Center at (410) 479-5880. However, the phone is not a quick or easy option. Vaccine clinics have caused us to be short-handed with staff. Therefore, residents are asked to please be patient if contacting the Call Center to receive assistance to fill out their form over the phone.

Completing the form does NOT schedule a COVID-19 vaccination appointment. The form is intended to create a registry of people who want the vaccine and to determine Phase eligibility.

After completing the form, you will be contacted by Caroline Health Department staff WHEN you become eligible AND WHEN vaccines become available.

Caroline County is currently focused primarily on vaccinating the 75 and older population, which is about 35% complete. Vaccine supply is limited nationwide. Please be patient as we work to provide everyone in our priority groups with an opportunity to receive the vaccine.

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