COVID-19 Vaccine Interest Sign-Up
The Philadelphia Department of Public Health is working to roll-out vaccine to Philadelphia Residents in a Phased Approach. The purpose of this form is to gather information from individual Philadelphia Residents about their interest in receiving COVID-19 vaccination within Philadelphia County. The form is confidential. For issues related to the COVID 19 Vaccine interest form, please contact covid@phila.gov.
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5921 Lancaster Ave.Philadelphia, PA 19151-2607
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