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Immunization Forms for Providers

The forms in this section are for vaccine providers, seeking Immunization Resources, Vaccine Supply Problem Reports, Vaccine Order Forms for High Risk Patients and Vaccine Return forms. This content was previously available only through the CDHA Immunization Forms website.

Vaccine orders for Long-Term Care, Hospital/Community Agency, Physicians and Influenza Vaccines are now completed through the Provincial BioDepot Shopify. If you have questions about this process, please contact your local Public Health Office.

Immunization Consent Form (Generic)

June 27, 2024
.PDF

Vaccine Supply Problem Report

June 27, 2024
.PDF

Free Issue Vaccine Request Form

New form replaces High Risk Patients Vaccine Order form for all locations. 

March 5, 2025
.PDF

Vaccine Return Form

New form replaces Vaccine Return form for all locations. 

January 31, 2025
.PDF

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