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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
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

PhilaVax Closed to Orders from 3/29 through 4/4

PhilaVax Closed to Orders from 3/29 through 4/4

PhilaVax Closed to Orders from 3/29 through 4/4

PhilaVax will be temporarily closed to new VFC/VFAAR orders from 12PM on Wednesday, March 29, until 9AM on Tuesday, April 4, while the vaccine prices are updated for 2023.During this time, any orders entered into PhilaVax IIS will be deleted from the system and not processed.If you need to a place an order, submit it before 12 PM on Wednesday, March 29.  Normal order processing and shipping will resume at 9 AM on Tuesday, April 4.