COVID-19 Vaccine Order Form for Vaccine Providers
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Public and private sector health care providers authorized to order a supply of the COVID-19 vaccines from the PEI Chief Public Health Office will be issued an access code to complete the online form below. Any health care service administering the COVID-19 vaccine in PEI must comply to the COVID-19 Immunization Policy 2021.
If you are ordering more than one type of vaccine, you will need to complete a separate order form for each one.
What do I need to complete the online form?
You must enter the password issued through CPHO to access the form. Then you will be asked to:
- Provide identification and contact details for your clinic and the individual responsible for the care and control of the COVID-19 vaccine supply issued to you;
- Identify the vaccine type and quantity doses you are ordering, i.e. Pfizer-BioNTech, Moderna, AstraZeneca/Covishield; and
- Acknowledge that you have read and are able to comply with the COVID-19 Immunization Policy 2021 which includes your commitment to report each COVID-19 vaccine administered in accordance with the Public Health Act Immunization Regulations.
How long will it take to process my order?
Your order may take 3-10 business days to be processed. Orders submitted will be processed and ready the following week.