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申请新的 COVID-19 疫苗接种记录

您是否丢失了 COVID-19 疫苗接种记录?我们可以为您提供一个新的。

请从以下选项中选择并提交包含您或您孩子信息的表格。我们将在 7-10 个工作日内与您联系。

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伊利患者

已建立伊利患者的疫苗记录申请表

如果您是伊利患者,请填写下面的表格。

社区成员疫苗记录申请表

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Erie TWP badges

Erie Family Health Centers is recognized by Nurses.com as a 2026 Nursing Top Workplaces Awardee. We have also been recognized for third time by USA TODAY as a Top Workplaces USA for 2026!

We received the 2025 Newsweek Greatest Midsize Workplace Award, the 2025 Top Workplaces Chicago Award, and the 2025 Top Workplaces Bucketlist Frontline Workers Award

These awards recognize that our shared belief in Erie's mission and values drives everything we do.

The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.