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Trouble logging in? Forgot password? We can help!

philavax@phila.gov

215-685-6784

215-238-6944


Register a clinic

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

Clinic registration form
Enity confidentiality form

On behalf of patients

Patient update request

Looking for something else?

PhilaVax program info
Flat file reporting guide
More PhilaVax resources

VFC/VFAAR Re-enrollment Begins Today!

VFC/VFAAR Re-enrollment Begins Today!

VFC/VFAAR Re-enrollment Begins Today!

The Philadelphia Vaccines for Children (VFC)/Vaccines for Adults at Risk (VFAAR) annual re-enrollment period is now open!

Sites enrolled in VFC and/or VFAAR must submit a re-enrollment form by February 28, 2025 to continue participating in these programs.

Follow these 3 steps for a smooth re-enrollment!

1. Complete this survey.

Your answers will help us better support you throughout the next year.
A submission is required to complete re-enrollment for your site.

2. Update Clinic Tools

Update the information indicated in the Clinic Tools, Clinic Information module for your site. Use these job aids to guide you through making the necessary changes to the clinic tools page:

3. Use these job aids to guide you through the enrollment form step by step:

Do you have access to PhilaVax?

The vaccine coordinator and medical director must log into the PhilaVax IIS to access, complete, and sign the electronic re-enrollment form. If you have not completed the 2025 User Confidentiality Agreement to renew your account or do not have a PhilaVax user account, use the link below to complete it now.

If you have trouble accessing the above link or you have a PhilaVax account and need to update your password, you can email PhilaVax@phila.gov for assistance.

We’re here to help! Having trouble? Email DPHProviderHelp@phila.gov to connect with our team.