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Immunization record form canada pdf

Immunization record form canada pdf 2025

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The document is an Immunization Record Form required for children attending school in Canada, ensuring they are appropriately immunized before entry. It must be completed and certified by a qualified health professional prior to arrival in Canada, or students can submit a notarized and translated immunization record from their home country. The form is to be submitted to the International Student Program and retained by the student for further proof.

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Click ‘Get Form’ to open the immunization record form in the editor.
Begin by entering the student's Last Name and Given Name(s) in the designated fields. Ensure that all names are spelled correctly for accurate documentation.
Fill in the Date of Birth using the format Day/Month/Year. This is crucial for verifying age-related immunization requirements.
In the immunization section, check off each vaccine received by the student, including mandatory vaccines like Diphtheria, Tetanus, Polio, and others listed. If applicable, mark any recommended vaccines as well.
A qualified health professional must certify the form. Ensure they sign and print their name, provide their address, and professional designation along with the date of certification.
Once completed, save your document and email it to isp@hcdsb.org as required before school registration.

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How to get your immunization records in Canada?

If you do not know what immunizations you or your children have had, you can: Check with your doctor, who may have a record in your file. Check with the local public health office where you were immunized as a child. Most public health offices maintain a registry of childhood immunizations in their area.

How do I download proof of vaccination in Ontario?

You can download your vaccine certificate from Ontarios vaccination portal. To log in securely, you need: a green photo health ( OHIP ) card (you will need numbers from both the front and back of the card, expired cards will be accepted) your date of birth.

How can I get my old immunization records?

visits you made to local public health departments or neighborhood clinics. When physicians retire or a medical practice changes hands, old patient records may be sent to a medical record storage company. You may be able to obtain records directly from the company for a fee. baby books and school or camp forms.