COVID-19 At-home Test Kit and Mask Distribution

COVID-19 At-home Test Kit and Mask Distribution

The COVID Schools Team of the Philadelphia Department of Public Health is making at-home COVID-19 Test Kits available to early education programs. You may share these kits with your staff and/or families. While there is no requirement for them to report findings back to you, instructions for reporting a positive test result are included with each kit. Children's and adult masks are also now available.
Test kits and masks will be available for pick up at the Early Learning Resource Center located at 2373 Welsh Road by appointment only. After submitting this form, an ELRC 18 team member will contact you to confirm the number of kits and masks, as well as to schedule a convenient time for pick-up.

Please note: Pick-up times will be between 9a-12p or 2p-4p only.
Program Name *
MPI Number *
Program Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact Name *

First Name Last Name
Contact E-mail Address *
example@example.com
Contact Phone Number *
Please enter a valid phone number.
# of test kits requested *
NOTE: You can request up to three times your licensed capacity (plus number of staff).
# children's masks requested *
Please indicate how many individual masks your would like, as the packaging changes from time to time.
# adult masks requested *
Please indicate how many individual masks your would like, as the packaging changes from time to time.
Should be Empty: