Health Unit

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Child Immunization Form

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Children attending school or child care in Ontario must be immunized for certain diseases under the Immunization of School Pupils Act (ISPA), and the Child Care and Early Years Act (CCEYA).

The health unit must collect and maintain up-to-date immunization records for every child registered in school or child care in Simcoe County and Muskoka District.

Please provide the following details for our records. The information will be reviewed within 5 business days. You will only be notified if we require further information.

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Please note required fields are marked with an *Asterisk.

Contact Details
Child Information
Immunization Records

Using the yellow card below, select all of the vaccines given on the date entered in the first line of the card. You can select the vaccine individually or select by vaccine brand name. To enter multiple vaccination dates, click the Add Yellow Card button. You can use up to 10 Yellow cards.

Please ensure that the information submitted is accurate.

  1. Apply Vaccine(s) by Brand:

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If you have any questions or concerns that require a response, please contact Health Connection directly.

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