Submit Child and Student Immunizations Online

Durham Region Health Department processes immunization records for children who live in, or attend school or child care in Durham Region only.

Please review the notice of collection and consent of information below to continue.

COLLECTION OF PERSONAL AND PERSONAL HEALTH INFORMATION

We collect, use, and disclose your personal and personal health information under the authority of the Health Protection and Promotion Act R.S.O. 1990, c.H.7, s.5, the Immunization of School Pupils Act (ISPA), R.S.O. 1990, s.11(1), and/or the Child Care and Early Years Act (CCEYA), S.O. 2014, s.35 and its Regulations. This information is collected for the purpose of assessing, keeping records, and reporting on the immunization status of children going to schools or enrolled in a licensed childcare program in the province of Ontario. Information collected is maintained electronically in a provincial immunization information system that is provided by the Ontario Ministry of Health. Information will be collected, used, and disclosed in accordance with the Personal Health Information Protection Act, 2004, S.O. 2004, c. 3.

VOLUNTARY COLLECTION FOR ANY OTHER DISEASES

The Medical Officer of Health and Public Health can collect data about any other immunizations not required under ISPA if collected voluntarily. Questions about this collection of information should be addressed to the Durham Region Health Department, Manager, Health Information, Privacy and Security at 605 Rossland Road E., P.O. Box 730, Whitby, ON, L1N 0B2.

CONSENT TO THE COLLECTION OF INFORMATION

I consent to the Medical Officer of Health for the Regional Municipality of Durham electronically collecting the personal and personal health information I submit through this online form for the following purposes:

1. To keep an electronic record of immunization for a student as required by ISPA or CCEYA (if relevant),
2. To provide health care providers with electronic access to immunization information for the provision of health care,
3. To adequately assess immunization records for appropriate immunization administration,
4. To enable access of this information electronically when needed for travel, work or volunteer opportunities or children’s programs that may require particular immunization information about myself/my child, and
5. To support any programs/services administered by any public health unit in Ontario related to preventing the spread of disease and/or the promotion and protection of the health of others in Ontario.

I acknowledge that I am providing immunization information about a student or a child attending a licensed child care centre as required by law, or non-ISPA immunization information about myself or an individual for whom I am the substitute decision-maker. I agree to provide the information for the purposes listed above. I acknowledge that I am not required to submit non-ISPA immunization information to the Durham Region Health Department.

You may be contacted for purposes related to the immunization information provided, such as to request clarification or follow up regarding the information submitted. By providing your phone number or email below, you are consenting to follow-up communication which is required to update your immunization record.

NOTE: When submitting immunization information for a child 16 years and older, consent from the child will be required to share vaccine information with parents/guardians if follow-up is needed.