Please use this form to request your COVID-19 Vaccination Documentation.
New vaccine cards may be picked up at Centennial Pharmacy Services at:
1020 N Delaware Avenue, Philadelphia PA, 19125
Monday - Friday from 9:00 AM - 5:00 PM
If you choose to pick up your card, it is free of charge.
If you are requesting your vaccine card to be mailed to you, please note there is a $5 service fee.
Your card will be ready for pick up or mailed 2 business days after this form is submitted. Thank you!