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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

VFC Sticker Sheet

VFC Sticker Sheet

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24 Stickers per Sheet

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English

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Stickers

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