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.
You can now have bulk quantities of test kits and masks delivered to your location or pick them up at 700 Packer Ave on Tuesdays and Thursdays. You must order and wait for confirmation first. Click here: https://phlpublichealth.iad1.qualtrics.com/jfe/form/SV_em8k4AZYinFi5XE?jfefe=new
Please complete the form below ONLY if you would like to schedule a pick-up at ELRC 18's Welsh Road location. Do NOT complete the form if using the link above to request delivery to your location.
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, please look for an e-mail to schedule a convenient time for pick-up.

Please note: Pick-up times will be Monday-Friday from 9a-11:30a or 2p-3:30p only.
Program Name*
MPI Number*
Program Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Contact E-mail Address*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
# of test kits requested*
# 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: