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215-685-6784
215-238-6944
Complete the online reporting agreement form
Or fill out the
then email it to
vaxreporting@phila.gov
or fax to the contact above.
Complete in addition to the reporting agreement form to onboard more than 2 clinics.
Need help? Review the FAQ
v2_Introduction to the PA CARES Program - FINALDownload ...
Provider Reporting Agreement Form FAQDownload ...
Board of Health Regulations Governing the Immunization and Treatment of Newborns, Children, and AdolescentsDownload ...
Patient Eligibility & Funding Source Guide - English Patient Eligibility & Funding Source Guide - Spanish ...