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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

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PhilaVax program info
Flat file reporting guide
More PhilaVax resources

PhilaVax User Account Renewal

PhilaVax User Account Renewal

PhilaVax User Account Renewal

Dear PhilaVax Users,

PDPH’s Immunization Program is currently undergoing annual PhilaVax user account renewal.

All users must complete the user agreement for the 2023 calendar year for continued access to PhilaVax.

All agreements must be completed by February 7th, 2023. User accounts without an updated agreement by this date will be unable to log into PhilaVax and will be rendered inactive until the agreement is completed.

Find the form here: PhilaVax User Agreement Form