Request your facility to be added, modified, or removed from the Infusion Center Locator.

* Required Information

The PEMGARDA Infusion Center Locator is a directory of infusion centers who have attested that they are willing and capable of administering PEMGARDA and that it can be made available at the affiliated facilities listed in this directory.

Contact Information:

First Name *

Last Name *

Title *

Email Address *

Phone

Facility Details:

Are you adding, modifying, or removing a facility? *

Facility Name *

Facility Address 1 *

Facility Address 2

Facility City *

Facility ZIP Code *

Facility Phone *

Facility Website

I am a healthcare provider authorized to provide information about the infusion center described above (“Center”) and authorized to request that it be included in the Infusion Center Locator (“Locator”) compiled by Invivyd, Inc. (“Invivyd”). By submitting this form, I confirm that the information provided is accurate and that the Center can administer PEMGARDA according to the conditions required by the FDA as described in the “Fact Sheet for Healthcare Providers: Emergency Use Authorization of PEMGARDA.” In addition, I understand that the Locator is being offered as a resource to HCPs and patients for informational purposes only. I agree to contact Invivyd if any of the information that I am providing about Center changes so that Invivyd may update the Locator as needed. Moreover, I confirm that no fees or other remuneration have been or will be exchanged for inclusion of Center in the Locator. Inclusion in the Locator is not contingent on any purchase of PEMGARDA or any other Invivyd product. Finally, I acknowledge that Invivyd is not affiliated with Center, and inclusion in the Locator does not represent an endorsement of or referral to the Center, nor does it represent an endorsement of any Invivyd product. Invivyd representatives may contact me regarding this request using the information provided. I understand that all personal information I have submitted will be used and kept confidential in accordance with Invivyd's Policy Statement, and I agree to the Terms of Use.

I am a healthcare provider. By checking this box, I agree that Invivyd, Inc. and its vendor partners may have one of its representatives contact me regarding PEMGARDA™ and the Infusion Center Locator and use the information I am submitting to provide me with updates via email about Invivyd products, including PEMGARDA™, and related programs, services, special opportunities, disease state education, and general health information that Invivyd believes may be of interest to me. I understand that all personal information I have submitted will be used and kept confidential in accordance with Invivyd’s Policy Statement, and I agree to the Terms of Use.