Search

Licensed Child Care Entry Immunization Form

Updated: June 2019

Gastrointestinal Outbreak Line Listing Form - Child Care

Reviewed: June 2022

Non-Reusable Vaccine (Spoiled or Expired) Return Form

Updated: 2021

IMT-218 - Publicly Funded Hepatitis A & Hepatitis B Order/Report Form

Updated: March 2019

Hep B Vaccine Order And Referral Form

Statement of Medical Exemption COVID-19 Immunization- Public Use

Flu Vaccine Wastage Form - Pharmacy

Updated September 2023.

Flu Vaccine Wastage Form - Health Care Providers

Updated September 2023.

2023-2024 Seasonal Influenza Consent Form

Updated October 2023.

Vaccine Temperature Log Book

Updated September 2023.

Workplace Wellness Resource Order Form

Order form to request workplace wellness resources

Consentement à l’administration du vaccin Menactra

Grade 7 Immunization Consent Form

Current as of September 2024.

Modified COVID-19 Vaccination Clinic Daily Metrics Form

Updated September, 2024

Flu Vaccine Order Form - Thunder Bay orders only

Updated September 2024.

For district orders, see HERE.