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Fill out both forms, then either email or fax them to us at the contact above.

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PhilaVax program info
Flat file reporting guide
More PhilaVax resources

Ukrainian Refugee Engagement Survey

Ukrainian Refugee Engagement Survey

Ukrainian Refugee Engagement Survey

The PDPH Immunization Program is interested in engaging further with providers who see patients that identify as Ukrainian refugees. Please provide answers to the below questions to the best of your ability, as it applies to your practice.
If you have any questions or need further assistance, contact aleah.mckenzie@phila.govveronica.alvarez@phila.gov, or thang.song@phila.gov.