Immunization & Vaccine Preventable Diseases

Immunization leads to improved individual and population health. It also helps save lives and prevent serious illnesses.

Here you will find information about routine immunization, school immunization, the immunization of school pupils actonline immunization reporting, vaccine safety, vaccine exemption, vaccine schedule, adult immunization and links to immunization forms and immunization resources.

How to provide your records

If you are submitting information to avoid a secondary school suspension please call 519-575-4400 ext. 5001, or fax the information to 519-885-7260. Alternatively, you can bring the information to Public Health's office at 99 Regina St. S. in Waterloo or 150 Main St. in Cambridge. 


519-575-4400 ext.5001

8:30 a.m. - 4:30 p.m. Monday - Friday



Routine Immunization

Immunizations help the body make its own protection (or antibodies) against certain diseases. They are given to people to prevent against a variety of diseases including; diphtheria, pertussis (whooping cough), tetanus, polio, haemophilus influenzae type b (Hib), measles, mumps, rubella (German measles), varicella (chickenpox), meningitis, pneumonia, and influenza.

Routine immunizations are provided by Public Health to residents of Waterloo Region who do not have a health care provider. For those with valid health cards, it is recommended you contact your family physician or a local walk-in clinic for
immunization. Please review the information about clinic hours and locations on the Immunization Clinic page.

School Immunization

Public Health will mail letters to students with incomplete records only. If you receive a letter, please forward a copy of the complete immunization record to Public Health. If your child requires immunization, please contact your family doctor. If you do not have a family doctor you can contact Public Health at 519-575-4400 ext. 5003 to make an appointment.

Student Immunization Postcard

Hepatitis B, Meningitis, HPV Vaccine

Hepatitis B, Meningitis, and HPV Vaccine Schedule - includes a list of schools and dates for the 2017-2018 school year

Hepatitis B, Meningitis, and HPV vaccines are offered to all Grade 7 students.

If you received an immunization notice for your child it is because we do not have complete information on file for one of the following reasons:

  • You have not reported your child's complete immunizations to Region of Waterloo Public Health.
  • Your child is overdue for one or more immunizations.
  • You have chosen not to have your child immunized (for medical, religious or conscience reasons) but have not provided us with a completed legal exemption form.

Your school's role

Your school does not collect immunization information; this information should only be provided to Region of Waterloo Public Health.

After registration, you are required to update your child's immunization record with Region of Waterloo Public Health each time your child is immunized.

How to avoid school suspension:

  • Report each new immunization to Public Health; your doctor's office or school does not report these records for you.

If you've received a notice

  • Contact Public Health to update your child's record (see contact information below)
  • Book an appointment with your healthcare provider and take your notice with you to your child's appointment to ensure the correct immunizations are given. Please notify Public Health using one of the methods below once the immunizations have been given.
  • If you do not have a health card or a family doctor, you can call the health unit at 519-575-4400 ext.5003 to book an appointment or be referred to a clinic for your child to receive the vaccine(s).You can find the immunization schedule at:

How to provide your records

If you are submitting information to avoid a secondary school suspension please call 519-575-4400 ext. 5001, or fax the information to 519-885-7260. Alternatively, you can bring the information to Public Health's office at 99 Regina St. S. in Waterloo or 150 Main St. in Cambridge. 


519-575-4400 ext.5001

8:30 a.m. - 4:30 p.m. Monday - Friday



 Vaccine Exemption

Vaccine Exemption For Children Enrolled in School - Immunization of School Pupils Act

Under the Immunization of Schools Pupils Act, parents/guardians may decide - for medical, religious or philosophical reasons - not to immunize their child. In this case, you will need to provide a valid written exemption to us (your local public health unit). If the disease appears in your child's school your child may have to stay out of school/childcare until the disease is no longer present.

A Medical Exemption completed by a physician, must be forwarded to us after completion. If you have any questions, please contact us at 519-575-4400 ext. 5003. Medical Exemption Forms can be downloaded from the Service Ontario website (see link below), completed by a physician and submitted via fax, mail or in person.

The immunization medical exemption forms for children enrolled in school are available here:

The Immunization of School Pupils Act was recently amended to change the process for non-medical exemptions (statements of conscience). All parents seeking a Statement of Conscience are encouraged to call the Vaccine Preventable Diseases information line at 519-575-4400 x5003 to speak with a Public Health Nurse about this new process. A nurse is available Monday - Friday 8:30 a.m. - 4:30 p.m.

Vaccine Exemption for Children Enrolled in Child Care Centres - Child Care and Early Years Act

As per the Child Care and Early Years Act, children attending licensed childcare centres should be immunized according to their age and as recommended in the Publicly Funded Immunization Schedules for Ontario or as directed by the Medical Officer of Health. However, exemptions for medical or conscience of religious beliefs are permitted under the legislation. The immunization exemption forms for students enrolled in child care centres are available here:

Immunization Reporting

We are responsible for collecting and maintaining updated immunization information for students aged four - 18 years attending school and for children in licensed child care centres in Waterloo Region.

Note: Primary care providers (doctors) will provide parents with a record of immunization, but will not report this information to us. Parents are responsible for notifying us each time their child receives an immunization.

Please have an updated copy of your child's "yellow card" or printout of their immunization record ready prior to completing the online form.


To report immunizations online, go to:

By phone:

To reach a nurse, call 519-575-4400

Personal Health Information: By completing this online reporting form, you are consenting to the collection and use of your personal health information by Region of Waterloo Public Health to maintain the provincial immunization database. For further information about this, please contact us at 519-575-4400.

Vaccine Safety

Vaccines used in Canada are very safe. They are developed in accordance with the highest standards and are continually monitored for safety and effectiveness.

If you have any questions, call your doctor, nurse practitioner or visit Public Health Agency of Canada at or

Minor side effects from vaccines such as mild and localized redness and swelling or tenderness of the spot where the vaccine was administered and mild fever are common but go away quickly.

Vaccine Schedule

Vaccines trigger the child's immune system to make antibodies to fight disease, and for it to work best children must have all their immunization on time.

Please check the Immunization Schedule of the recommended routine immunization for children in Ontario.

If you have a question about your child's immunization, contact a nurse in the Vaccine Preventable Disease Program at 519-575-4400 between 8:30 a.m. and 4:30 p.m., Monday to Friday.

Also, check with your doctor or nurse practitioner to see if your older children may be eligible for any of the new vaccines now available for children in Ontario.

Immunization Records

Every child needs an immunization record. Keep a written record of all your child's immunizations on the "yellow card".

To request immunization records, call 519-575-4400.

Adult Immunization

You are never too old for immunization.

Recommended immunization for adults (25, 35, 45+ years) are:

  • Tetanus/Diphtheria (every ten years)

For adults who have completed a polio series in the past, routine polio boosters are not needed with some exceptions.

Other vaccines are also recommended based on age, medical conditions, employment and increased risk of infection. These may include:

  • Influenza
  • Pneumococcal
  • Rabies
  • Hepatitis A
  • Hepatitis B
  • Meningococcal

Also, all adults 19 - 64 of age who have never received the Tdap (Tetanus, Diphtheria and Pertussis) vaccine in adolescence are now eligible to receive one lifetime (publicly funded) dose of the vaccine. This lifetime dose replaces one of the Td (Tetanus and Diphtheria) booster doses given every ten years.

Special vaccines may be needed when travelling outside North America. For a list of travel immunization clinics in the area click here.

Immunization Forms for Child Care Centres

Instructions for Collection, Maintenance and Completion of Child Care Forms for child care centre operators and providers

Parent Information Letter for children attending a child care centre in Waterloo Region

Immunization Information Form for new registrants attending a child care centre in Waterloo Region

Immunization Update Form for children attending a child care centre in Waterloo Region

Child Care Centre Enrolment List - Paper Form

Child Care Centre Electronic Enrolment Form

The following form is for child care providers (employees, providers, volunteers in child care centres) and is to be kept on site. If you have any questions about this form please call Public Health at 519-575-4400.

Pre-Employment Health Form for Employees, Providers, and Volunteers in Child Care Centres

Immunization Resources

Fact Sheets / Brochure

Impact of Vaccines in Canada Poster

Cocooning Babies and Pertussis Vaccine


Chickenpox and Pregnancy


Diphtheria, Tetanus and Acellular Pertussis

Diphtheria, Tetanus, Acellular Pertussis, Polio, Haemophilus Influenzae Type B

FluMist Fact Sheet 

Inactivated Polio Vaccine


Invasive Pneumococcal Disease and Vaccine

Hepatitis B

Hepatitis A

Haemophilus Influenza Type B

Human Papillomavirus


Measles Mumps Rubella

Measles Mumps Rubella & Varicella

Meningococcal Conjugate

Pneumococcal Conjugate

Pneumococcal Polysaccharide

Rotavirus Disease

Rotavirus Vaccine

Tetanus, Diphtheria, Acellular Pertussis, Polio

Tetanus, Diphtheria and Polio

Tetanus / Diphtheria


Immunization Websites

Immunization Education Campaign - Public Health Agency of Canada website