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philavax@phila.gov

215-685-6784

215-238-6944

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

Patient update request

PhilaVax program information

Flat file reporting guide

More PhilaVax resources

Resources

This page contains our library of forms, resources, documents, and guides.

Use the filters below to narrow down the selection. Having trouble locating a resource? Email us at vaccines@phila.gov for help!

All
Inventory & Ordering
Mpox
PhilaVax
RSV | Flu | COVID-19
Storage & Handling
VFC | VFAAR

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Accepting Shipments Guide

Clinic Address Delivery Hours Update Guide

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Address & Delivery Hour Update Guide

Available VFAAR vaccine

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Available VFAAR Vaccine

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Available VFC Vaccine

Avoiding Administration Errors: Scheduling Errors

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Avoiding Administration Errors

Beyond use date label instructions

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Beyond Use Date (BUD) Label Instructions

Check order status

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Check Order Status Guide

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COVID-19 Commercialization FAQ

DDL battery guide

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DDL Battery Guide

DDL Start Stop Guide

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DDL Stop Start Guide

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DDL: Download and Submit your Temperature Data

Submit temperature data

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DDL: Guide to Submit Temperature Data

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Defrost Guide

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Excursion Response Form

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Flat File Reporting Guide

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Flat File Reporting Template

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Identifying DDL Alarms

English record request

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Immunization Record Request Form (Multiple Languages)

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International Records Review Guide

Logtag software configuration guide

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Logtag Software Configuration Guide: VFC 400-1 DDL

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Mpox: Dose Tracker Sheets

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Mpox: Inventory & Administration Reporting Guide

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Mpox: Onboarding & Data Standards

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Mpox: Vaccine Distribution Presentation

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Mpox: Wastage and Reconciliation Guide

Flu Flow Chart

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Number of Doses of Flu Vaccine to Give to Children Guide

COVID ordering guide

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Ordering COVID-19 Vaccine Guide

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Ordering Formula Guide

Online ordering guide

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Ordering Job Aid

Temperature logs guide

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Paper Temperature Log Guide

paper logs gallery

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Paper Temperature Logs

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Patient Eligibility & Funding Source Guide (English / Spanish)

Patient opt out

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Patient Opt Out Form

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Patient Search Guide

Patient update request form

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Patient Update Request Form

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PhilaVax Clinic Onboarding List

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PhilaVax Provider Reporting Agreement Form

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PhilaVax Provider Reporting Agreement Form FAQ

Planned vaccine transport guide

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Planned Vaccine Transport Guide

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Primary Agreement Signature Guide

Recall report guide

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Recall Report Guide

Reconciliation guide

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Reconciliation Guide

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Regulations on Immunization of Newborns, Children, and Adolescents

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Reporting Forms

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Reset Password Guide

Returning vaccine guide

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Returning Vaccine Guide

Shipment tracking job aid

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Shipment Tracking Job Aid

Staff changes job aid

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Staff Changes Job Aid

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User Confidentiality Agreement

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Vaccine Coordinator Guide

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Vaccine Hesitancy Guide

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Vaccine Management Plan

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Vaccine Storage Temperatures: Refrigerator & Freezer

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VFC & VFAAR Enrollment Job Aid

VFC eligibility guide

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VFC Eligibility Guide

VFC eligibility screening record

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VFC Eligibility Screening Record

Wastage guide

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Wasting Vaccines Guide