This section will determine if you may or may not receive your COVID-19 Vaccine do to the City of Philadelphia Phase Order. Currently we are in Phase 1b and we are administering vaccines at 19 different location throughout the city. If you are currently not a Phase 1a or 1b priority citizen, Please Do Not complete this form for you will not receive a vaccine until the priority level changes to your current Phase. Please check The City of Philadelphia's office websites when your Phase will be available.
View COVID-19 Vaccine Phases: https://www.phila.gov/programs/coronavirus-disease-2019-covid-19/vaccines/covid-19-vaccine-documents/