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philavax@phila.gov

215-685-6784

215-238-6944


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Fill out both forms, then either email or fax them to us at the contact above.

Clinic registration form
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2024 Influenza Ordering Survey

2024 Influenza Ordering Survey

2024 Influenza Ordering Survey

While flu remains prevalent across the country, the 2023-2024 flu season has seen a drop in coverage, and Philadelphia is no exception.   

Fill out this short survey (less than 3 minutes) to help us better prepare for next flu season. Every site that completes the form by Friday, April 26, 2024, will be entered for a chance to win a free buzzy. Your responses are key in our planning for the 2024-2025 flu season!