Quick links

Contact us

Trouble logging in? Forgot password? We can help!

philavax@phila.gov

215-685-6784

215-238-6944

To onboard a new entity or clinic:

Complete the online reporting agreement form

Or fill out the

Reporting agreement form

then email it to
vaxreporting​@phila.gov
or fax to the contact above.

Clinic onboarding list

Complete in addition to the reporting agreement form to onboard more than 2 clinics.

Need help? Review the FAQ

Reporting agreement FAQ

On behalf of patients

Patient update request

Looking for something else?

PhilaVax program information

Flat file reporting guide

More PhilaVax resources