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Secure file transfer protocol

Register or renew user


Contact us

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philavax@phila.gov

215-685-6784

215-238-6944


Onboard a new entity or clinic

Reporting agreement form

Email completed form to vaxreporting​@phila.gov or fax to the contact above.

Clinic onboarding list

To onboard more than 2 clinics.


On behalf of patients

Patient update request

Looking for something else?

PhilaVax program info
Flat file reporting guide
More PhilaVax resources

Bridge Access Program Pre-Enrollment is Live

Bridge Access Program Pre-Enrollment is Live

Bridge Access Program Pre-Enrollment is Live

Please complete the pre-enrollment survey below. This survey will provide our team with key information to determine if your site is eligible for enrollment.  

The survey does not generate a confirmation email automatically. Our team will review your responses and reach out to you within 48 hours to provide next steps and/or to request additional information as needed.

As a reminder, the Bridge Access Program allows providers who see underinsured and uninsured adults 19+ to continue receiving government funded COVID-19 vaccine following commercialization. 

If you have additional questions about enrollment you may email the COVID-19 Coordinator, nyandra.mcfadden@phila.gov.