Clinical Service

Approved, inspected Health Care Provider facilities have different vaccine order forms to use, depending on location.

IF YOU Pick up vaccine orders from Barrie, Collingwood, Cookstown or Midland,

THEN PLEASE USE THESE FORMS:

• Vaccine Order Form 
• Special Order Form 
• Grades 8-12 Student Men-C-ACYW Order Form 
• High School Student Hep B & HPV Vaccine Catch Up Order Form
• COVID-19 Vaccine Order Form

IF YOU Pick up vaccine orders from Gravenhurst, Huntsville or Orillia,

THEN PLEASE USE THESE FORMS:

• Vaccine Order Form 
• Special Order Form 
• Grades 8-12 Student Men-C-ACYW Order Form 
• High School Student Hep B & HPV Vaccine Catch Up Order Form
• COVID-19 Vaccine Order Form

 Additional Forms

• Temperature log book (pdf)
• Vaccine Return Form (pdf)
• Adverse Event Following Immunization Report Form (pdf)
• 2014 Medical Exemption Form - ENGLISH 2014 Exemption médicale Forme - FRENCH
• Disease of Public Health Significance Reporting Form

Environmental Health Department

• Rabies and Animal Exposure Incident Report (pdf)
  
• Rabies Post Exposure Prophylaxis Tracking Form (pdf)
• Surveillance Form for Tick Identification (pdf)