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Adult Immunization Record Retrieval Request

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Complete this form to request a copy of your immunization record be sent to you by mail. This service is only for adults 27 years of age or younger who had attended grade school or high school in Ottawa.

Immunization records may be available if you meet the following criteria:

  • You are 27 years of age or younger.
  • You attended grade school or high school in Ottawa.
  • The information that you provided in this form matches the information in the provincial database.
  • Records for you exist in the provincial database.

If you do not have an immunization record with us, or the information you provided cannot be matched to the provincial database, you will receive an e-mail of what you can do next.

Do you meet the above criteria?
 


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