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Contact us

Trouble logging in? Forgot password? We can help!

philavax@phila.gov

215-685-6784

215-238-6944


Register a clinic

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

Clinic registration form
Provider agreement form

On behalf of patients

Request or update record
Patient update request

Looking for something else?

PhilaVax program info
Flat file reporting guide
More PhilaVax resources

2024 Influenza Ordering Survey

2024 Influenza Ordering Survey

Congratulations to last week’s survey winner: Puentes De Salud! But wait, there’s another chance to win and help us better prepare for the next flu season! We will hold a second drawing to win a free buzzy

To enter our second drawing, use the button below to complete a short survey (less than 3 minutes) by Friday, May 17, 2024.  

If you previously filled out the survey, you’ve already entered. Your responses are key to our 2024-2025 flu season planning!