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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
Immunization Record Request (English) PDF English version of Immunization Record Request Form. September 25, 2026
Immunization Record Request (Spanish) PDF Spanish version of Immunization Record Request Form. September 25, 2026
Immunization Record Request (Chinese) PDF Simplified Chinese version of Immunization Record Request Form. September 25, 2026
Immunization Record Request (Russian) PDF Russian version of Immunization Record Request Form. September 25, 2026
Immunization Record Request (Vietnamese) PDF Vietnamese version of Immunization Record Request Form. September 25, 2026
Immunization Record Request (Korean) PDF Korean version of Immunization Record Request Form. September 25, 2026
Immunization Record Request (French) PDF French version of Immunization Record Request Form. September 25, 2026

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