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How to request an immunization record

If you got your COVID-19 vaccine in Philadelphia, the Department of Public Health can provide you with an official immunization record. You can use this record as proof that you’ve been vaccinated against COVID-19 if you lose your vaccination card.

To request your immunization record, fill out the online form or complete and submit one of the record request forms below.

For more information, visit Request your immunization record.

Name Description Released Format
Name: How to Request an Immunization Record PDF Description: Instructions in English and Spanish on how to request an immunization record. Released: December 20, 2023 Format:
Name: Immunization Record Request Form PDF Description: English version of Immunization Record Request Form. Released: February 28, 2023 Format:
Name: Formulario de solicitud para tarjeta de vacunación PDF Description: Spanish version of Immunization Record Request Form. Released: February 28, 2023 Format:
Name: 免疫记录申请表 PDF Description: Simplified Chinese version of Immunization Record Request Form. Released: February 28, 2023 Format:
Name: Phiếu Yêu Cầu Hồ Sơ Tiêm Chủng PDF Description: Vietnamese version of Immunization Record Request Form. Released: February 28, 2023 Format:
Name: 양식 PDF Description: Korean version of Immunization Record Request Form. Released: February 28, 2023 Format:
Name: Форма запроса информации о вакцинации PDF Description: Russian version of Immunization Record Request Form. Released: February 28, 2023 Format:
Name: Formulaire de demande d’un Carnet de vaccination PDF Description: French version of Immunization Record Request Form. Released: February 28, 2023 Format:

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