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