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Infant and High-risk children RSV Prevention Program Product Order Form

Eligibility Criteria for Infant

Eligibility Criteria for Prenatal Client

  • Pregnant individuals from 32 to 36 weeks gestational age
  • Delivering during RSV season or just prior to season
Check which client(s) you are ordering product for:
 

Staff designated to act as the contact for Ottawa Public Health for this vaccine event:

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To minimize wastage of the product requested while continuing to provide to all those who are eligible, please only order the amount of product required to meet your needs.

Please note that we reserve the right to reduce the number of doses ordered to ensure equitable access in our community.



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