The importance of vaccinations for COPD patients has been previously described . However, there is still a gap between guideline recommendations and the implementation of preventive care delivery for these patients . Specially, the rise of SARS-CoV-2 pandemic has made the significance of vaccination adherence more critical to address . Our study showed that referral to pulmonary clinic is associated with increased odds of receiving influenza (OR = 1.97, [95% CI 1.07 , 3.65] ) and pneumococcal vaccinations (PCV13 OR = 3.55, [1.47 , 8.54]; PPSV23 OR = 4.92, [1.51 , 16.02] ). These data suggest that partnerships between primary care physicians and pulmonologists can potentially improve the vaccination rates for patients with COPD.