Licensed Child Care

Under the Child Care and Early Years Act, all children attending a licensed child care centre (daycare) must be immunized as required by the local Medical Officer of Health (MOH). The operator of the licensed facility has a legal obligation to make sure that all the children in their care are immunized according to these requirements.

Parents/guardians will be asked to complete the Licensed Child Care Entry – Immunization Form (IMT-402) (PDF).

If the record is not complete according to the Publicly Funded Immunization Schedule of Ontario, parents/guardians will receive communication from the Health Unit outlining their options.



There may be medical or conscience/religious reasons for not immunizing children. If this is the case, the parent/guardian must submit approved Ministry of Education forms.

As of August 29, 2016, the following forms must be used:

  • Ministry of Education Statement of Medical Exemption form. The form must contain the health care providers (physician or nurse practitioner) signature and license/registration number. Please note this is NOT the same form that is used for children attending school. The form can be downloaded here: 
  • A Ministry of Education Statement of Conscience or Religious Belief affidavit. The affidavit must contain a commissioner of oath’s signature and contact information. Please note this is NOT the same form that is used for children attending school. The form can be downloaded here:


Guidelines for Excluding Children

If possible, the Health Unit encourages parents/guardians to keep their children home when ill. It is difficult for young children to “keep their germs to themselves”. Children can rest at home to recover. The best way to reduce the spread of infection is to keep sick children away from healthy children.

Child care centres also have a role to play. It is the responsibility of the operator to enforce exclusion policies that are set out by the Health Unit for certain symptoms (fever, gastrointestinal symptoms like vomiting) and infections (mumps, chickenpox).

Parents/guardians will be informed of any exclusion requirements. For more information these exclusion requirements, please see the TBDHU’s Common Childhood Infections Guide (PDF).


For More Information

For immunization-related questions, please call the Vaccine Preventable Disease program: (807) 625-5900 or toll-free 1-888-294-6630.

For questions specific to all other issues, please call a public inspector:  (807) 625-5900 or toll-free 1-888-294-6630.

Last Updated: 06/02/2019