Community Health Services Department / Child Health & Dental Services Department

Reporting Immunizations

This page was reviewed or revised on Friday, April 05, 2013 11:55 AM

Options to report immunizations:

According to the Ontario Immunization of Schools Pupils Act, RSO 1990, the County of Lambton Community Health Services Department must keep the vaccination record of every child attending school in Lambton County. The vaccine record is required for school attendance.

When your child receives a vaccination at a doctor's office or a hospital, it is the responsibility of the parent/guardian, NOT the doctor's office or school, to provide Community Health Services with your child's vaccination information. To help you provide this information, several options are available to report the information:

Completed forms can be:

Information required:

If you have any questions or concerns please contact a Public Health Nurse at 519 383-8331 ext. 3546.

For more information about immunization requirements for school or day care centres view the web section called Immunizing Children for School Entry.

 

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Immunization Online Reporting Form

To complete the online immunization reporting form, scroll down the page.

Fill in the boxes beside the vaccine name and the date the vaccine was given. When you are finished, click "submit."

If you have any questions or concerns about submitting immunization records online, please contact us at 519 383-8331, ext. 3589 or 1-800-667-1839, ext. 3589.

Child's Information

Astericks (*) beside field names are mandatory

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Parent/Guardian's Information

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Chart - Publicly Funded Routine Immunizations for Children

Use this form to submit your immunization dates for your child(ren). Once we have received your information, we will update our immunization records. All fields marked with a "*" are mandatory.

If you have any questions or concerns about submitting immunization records online, please phone us at 519-383-8331 or 1-800-667-1839.

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* All pupils entering nursery, elementary and secondary schools must be immunized against DIPHTHERIA, TETANUS, POLIO, MEASLES, MUMPS AND RUBELLA ACCORDING TO THE DAY NURSERIES ACT, 1984, AND THE IMMUNIZATION OF SCHOOL PUPILS ACT 1990. Exceptions to this requirement are for conscience or religious beliefs (must have a signed affidavit) or medical reasons certified by a physician.

The personal information on this form is collected under the authority of the Health Protection and Promotion Act, R.S.O. 1990, c. H.7. This personal information may be shared with the Ontario Ministry of Health, Ontario Ministry of Community & Social Services, your child's school and/or your local Health Department should you move out of Lambton County. Please direct any questions about the collection of this information to the Community Health Services Department - 519 383-8331.

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