Please tell us about yourself and your organization by completing the membership form. You may submit this form electronically by clicking the “Submit” button or printing a copy and faxing the completed form to 757.668.6475.

  • No fees or membership dues for participation
  • PIV does not sell or share your information outside of our members

Once submitted, you will receive a welcome packet with orientation information via e-mail.

Why Join PIV?

Coalition members represent organizations and companies throughout Virginia that are vested in making a difference in the health of Virginians. Each member brings a unique set of values and priorities that define the projects and contribute to accomplishing the goals of Project Immunize Virginia.

Join PIV today and help promote immunizations against vaccine-preventable diseases.

Benefits of Membership

Quarterly Meetings
Networking Opportunities
Latest Immunization Information
Monthly Tracker Talk Newsletter
Contribution towards Making Virginians Healthier