Providers Must Fill Out COVID-19 Vaccine Provider Attestation Form by July 13th
PDPH is requesting that all current COVID-19 Vaccine Providers complete the following attestation form. It will collect information on reporting, AEs, and general COVID-19 storage/handling.
This form needs to be completed prior to Tuesday 7/13/21 at COB.
If you have any questions, please contact firstname.lastname@example.org.
Thank you in advance for your time.