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          • 1226 Old Golf Links Road, Ancaster
          • 1258 Old Golf Links Road, Ancaster
          • 28 James Street North, Hamilton
          • 288-294 Fruitland Road, Stoney Creek
          • 350 King Street East, Hamilton
          • 435 Carluke Road West, Hamilton
          • 71 Main Street West, Hamilton
          • 89 King Street East, Hamilton
          • 95 Dundurn St. S., Hamilton
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        • Apply for a Building Permit Online with ePLANS
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    • Planning & Development
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      • GRIDS
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        • GRIDS 2/MCR Urban Growth Survey
        • Land Needs Assessment
      • Heritage Properties
        • Built Heritage Inventory Strategy
          • Beasley Heritage Inventory Project
          • Downtown Dundas Built Heritage Inventory
          • Landsdale Neighbourhood Inventory
          • Melville Street Heritage Conservation District Study
          • Places of Worship Inventory Review
        • Heritage Designation Process
        • Heritage Mapping & Resources
        • Heritage Permits
        • Heritage Plaques and Markers
        • Heritage Windows
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        • Pre-Confederation Buildings
      • Official Plan
        • Official Plan Review
        • Provincial Planning Matters
        • Rental Housing Protection Policy Review
        • Rural Hamilton Official Plan
        • Secondary Plans In Progress
          • Airport Employment Growth District Secondary Plan
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          • Fruitland-Winona Secondary Plan
          • Waterdown Community Node Secondary Plan Study
          • West Harbour Secondary Plan
        • Urban Hamilton Official Plan
      • Planning & Design Studies
        • Bayfront Industrial Area Strategy
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        • Family Friendly Housing
        • James Street North Mobility Hub Study
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        • Pleasantview Area Land Use Study
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        • Complete Streets Design Manual
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        • Innovative Stormwater Source Control Policy
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      • Waterfront Redevelopment
        • CHH Jamesville Redevelopment
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        • Pier 8 Development
        • Pier 8 Gateway Park
      • Zoning
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        • Residential Zones Project
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        • Zoning By-laws for the Former Communities
    • Starting a Small Business
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Vaccines & Immunizations

Vaccines & Children

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  3. Public Health
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  5. Vaccines & Children
  • Public Health
  • Vaccines & Immunizations
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  • Reporting Vaccinations
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Contact Us

Talk to your doctor or a Public Health nurse at 905‑546‑2424 ext. 7556 to learn more about vaccines.

Close up of a medical vial and syringe, vaccination concept

Ontario publicly funded immunization schedule

See what vaccines you and /or your child should get at each age and what diseases they protect against.

Ontario's Routine Immunization Schedule

By law, children must have some vaccines before going to daycare or school in Ontario according to the Ontario’s Immunization of School Pupils Act (ISPA) and Child Care and Early Years Act (CCEYA). Please note that COVID-19 vaccine is not mandated by ISPA or CCEYA. Your child’s risk of getting a vaccine-preventable disease may increase if you choose to not vaccinate your child. Your child must be kept home from school or daycare if there is a disease outbreak that could put them at risk.

Children must be immunized for the following diseases:

  • Diphtheria
  • Measles
  • Meningococcal
  • Mumps
  • Pertussis
  • Polio
  • Rubella
  • Tetanus
  • Varicella

Public Health does not require schools to collect and submit student vaccination records. Parents and legal guardians of junior and senior kindergarten registrants and students new to Ontario are asked to report their vaccinations to Public Health.

Parents are responsible for notifying Public Health each time their daycare or school-aged child receives a vaccine. Due to the COVID 19 Pandemic we are moving away from paper registration for reporting vaccinations.

Visit Reporting Vaccines

If you do not have access to the internet or you have any questions, please call 905-540-5250.

Vaccines & the Law
Children's Vaccination Records
How to Prepare for Vaccines

Vaccine exemptions

Your child may be exempted from vaccines mandated by ISPA or CCEYA for medical reasons or conscientious beliefs. Please refer to the applicable reason in the tabs below for full details.

​If your child cannot get a vaccine for medical reasons ask your doctor to fill out one of the following forms to let public health know your child will not get the vaccines.

*Please note that exemption forms for school and daycare are different as they apply to different mandates. The exemption forms for school (JK to grade 12) are for the purpose of exempting a child from requirements belonging to Immunization of School Pupils Act (ISPA).The exemption forms for daycare are for the purpose of exemption a child from requirements of Child Care and Early Years Act (CCEYA). Therefore, the exemptions submitted for CCEYA do not apply to ISPA and the process for ISPA exemptions must be completed separately.


If your child is in school


Step 1
Please request your primary care provider to complete the Statement of Medical Exemption Form.

Step 2
Submit a copy of the completed form to the City of Hamilton Public Health Services:

  • By fax: 905-546-4841
  • By mail: City of Hamilton Public Health Services
    Vaccine Program, P.O. Box 897
    Hamilton, Ontario, L8N 3P6

If your child is in daycare


Step 1
Please request your primary care provider to complete the Statement of Medical Exemption for Child Form.

Step 2
Provide a copy of the completed form to your child’s daycare and submit a copy to the City of Hamilton Public Health Services:

  • By fax: 905-546-4841
  • By mail: City of Hamilton Public Health Services
    Vaccine Program, P.O. Box 897
    Hamilton, Ontario, L8N 3P6

As of September 1st, 2017, non-medical vaccine exemptions for school age children (under the Immunization of School Pupils Act) will require the completion of an immunization education session. The education sessions are based upon standardized content from the Ontario Ministry of Health and Long-term Care. Due to the COVID19 pandemic the completion of an in-person Immunization Education Session has been temporarily removed until further notice.

If you have strong beliefs against getting vaccines, you must complete the following:

If your child is in school


Step 1
Complete the Online Immunization Education Session YouTube


Video: French

Once you have completed the video, please call the Vaccine Program Infoline at 905-540-5250 to attest to watching the video and request a ISPA education certificate.

Step 2
Complete the Statement of Conscience or Religious Belief form for children in school to let public health know your child will not get the vaccines.

Step 3
The form must be commissioned or notarized by a commissioner or notary public. You may choose to go to City Hall to commission the form.

Step 4
Provide the original copies of the completed forms in step 2 and 3 to the City of Hamilton Public Health Services:

  • By fax: 905-546-4841
  • By mail: City of Hamilton Public Health Services
    Vaccine Program, P.O. Box 897
    Hamilton, Ontario, L8N 3P6

If your child is in daycare


Step 1
Complete the Statement of Conscience or Religious Belief form for children in daycare to let public health know your child will not get the vaccines.

Step 2
The form must be commissioned or notarized by a commissioner or notary public. You may choose to go to City Hall to commission the form.

Step 3
Provide a copy of the forms to your child’s daycare. Provide a copy of the forms to the City of Hamilton Public Health Services:

  • By fax: 905-546-4841
  • By mail: City of Hamilton Public Health Services
    Vaccine Program, P.O. Box 897
    Hamilton, Ontario, L8N 3P6

Upon completion, parents/guardians will receive a certificate of completion. Combined with the notarized Statement of Conscience or Religious Belief the child will be exempt from receiving the particular vaccines required under the Immunization of School Pupils Act. 

If you choose not to vaccinate your child, you increase their risk of getting disease. Your child must be kept home from school or daycare if there is a disease outbreak that could put them at risk.


Health Services Appeal and Review Board Decision

Please be advised that on June 18, 2019 the Health Services Appeal and Review Board (HSARB) ruled that the Respondent does not have the ability or the discretion to alter the terms and content of the prescribed (ISPA/CCEYA Affidavit) form.

The content of the form, whether it is that portion which contains the information the legislature has specifically determined needs to be communicated or whether it relates to the wording of the Affidavit itself is a matter for the legislature. It is simply not open to the Respondent to alter a prescribed form or the Affidavit contained in it or to accept an altered form in fulfillment of the requirements of the Immunization of School Pupils Act, RSO 1990. 

Because of this decision, effective November 11, 2019 the City of Hamilton will no longer accept any affidavit’s with alterations.

You can access the full details of this decision by visiting the Health Services Appeal and Review Board.

By law in Ontario, Public Health needs:

  • An up-to-date vaccination record, or
  • A valid exemption form

This is required for each child attending a licensed child care centre, licensed home child care agency (Child Care and Early Years Act, 2014) or school (Immunization of School Pupils Act).

Daycare providers are required to ensure that up-to-date vaccine records of all registered students are kept on-site.

First time reporting vaccines to daycare provider and Public Health


Step 1
Complete the Daycare Vaccine History form(PDF, 167.58 KB).

Step 2
Provide a copy to the daycare provider.

*Please note that your daycare provider will forward your child’s vaccine records to Public Health only when the vaccine record is reported at registration. Subsequent reports must be completed by the parent or legal guardian directly to Public Health.

Subsequent reports of vaccines to daycare provider and Public Health


Step 1
Report your child’s latest vaccine records to Public Health. We highly recommend reporting your child’s vaccination records online as this method provides on-demand access and reduces the risk of losing your child’s vaccine records.

Reporting Vaccines

Step 2
Provide a copy to the daycare provider after reporting to Public Health.

Public Health does not require schools to collect and submit student vaccination records. Parents and legal guardians of junior and senior kindergarten registrants and students new to Ontario are asked to report their vaccinations to Public Health.

Parents are responsible for notifying Public Health each time their daycare or school-aged child receives a vaccine. We highly recommend reporting your child’s vaccination records to Public Health online as this method provides on-demand access and reduces the risk of misplacing your child’s vaccine records.

Reporting Vaccines

Check you vaccination records

You can check to see if your child has the vaccines they need to attend child care or school by:

  • Reviewing their vaccination record (yellow card)
  • Asking your health care provider
     
  • By checking Online
     
  • Or by calling Public Health at 905-540-5250

Getting your Child Vaccinated

In addition to the required vaccinations, Public Health strongly recommends:

  • Annual Flu vaccine (for children of all ages)
  • Rotavirus (for children attending child care)
  • Hepatitis B and Human Papillomavirus (HPV) Vaccine for Grade 7 Students

Following the Routine Schedule

When following the routine schedule, timing matters. The schedule gives some age ranges for your child to receive a vaccine (4 to 6 and 14 to 16 years). These vaccines are requires every 10 years from the 4 to 6 year vaccine. Example, if the 4 to 6 year vaccine was given at 5 years old then the 14 to 16 vaccine is required 10 years later at 15 years of age.

To prepare your child for clinic day, it is important that your child is well fed.  This reduces the chance of your child feeling faint or sick after the needle.

On the day of the clinic:

  • Make sure your child eats breakfast.
  • Pack your child a healthy lunch.
  • Make sure your child wears a short sleeve shirt.
  • Talk to your child about the vaccine. Explain what it is for and how it helps.

It is normal for your child to be nervous about getting a needle. Talk to your child about how to deal with anxiety and pain from the needle. 

Suggest your child:

  • Look away from the needle
  • Count to ten
  • Take slow, deep breaths in and out
  • Read a book
  • Talk to the nurse

If the school allows, your child may also:

  • Chew gum
  • Listen to music
  • Watch a video

    You can use a numbing product on your child’s upper arm. These are available at your local pharmacy. Read and follow the directions carefully. Your child’s needle will be given in the upper arm, about two finger widths below the shoulder.

    After the needle

    Talk to your child about what their arm will feel like after the needle. Their arm might be red and sore at the spot where they get the needle. Tell them to move their arm throughout the day so that the vaccine does not stay in one spot and cause pain.

     

    Date modified
    September 27, 2022
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