COVID-19 Vaccine Order Form for Vaccine Providers

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 2024-2025.

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, or Moderna; and
• Acknowledge that you have read and are able to comply with the COVID-19 Immunization Policy 2024-2025 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.