We do not require that you use our forms. We accept any form signed and dated by the doctor.
PA Department of Health's website at: dontwaitvaccinate.pa.gov.
To find a location near you that provides vaccinations year-round at state health centers, visit the- state health centers page
Making it easy to get us your information:
If your child has an upcoming physical or dental exam please fill out the correct form from below and submit it.
If you have had one in the past please fill out the appropriate survey.