Vaccine Order Form

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

ATTENTION: All information below must be completed clearly. Please indicate doses on hand when placing a Vaccine order.

For current processing times, please refer to our website Ottawa Public Health.

Please submit your monthly temperature log when placing a Vaccine Order. 

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

Additional supplies you would like to order (select all that apply)

Ottawa Public Health Immunization Reporting Postcards (PDF)

Ottawa Public Health Immunization Schedule Tear Off Pads (PDF)