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Vaccine Order Form

Telephone: 613-580-6744
Completed orders may be submitted online or sent via email or fax.
Email: Fax: 613-580-2783

ATTENTIONAll information below must be completed clearly. Please indicate doses on hand when placing a Vaccine Order.

Please submit your monthly temperature log when placing a Vaccine Order. Please allow 2-3 working days to process your order.

For age and high-risk criteria, please refer to the Publicly Funded Immunization Schedules for Ontario-June 2022.


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