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Canada Immunization Record - Applicants Under 16 Years of Age 2003-2025 free printable template

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This document serves as a record of immunizations for children under 16 years of age applying for immigration to Canada, detailing the required immunizations and the responsibility of the applicant
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How to fill out immunization record under 16

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How to fill out Canada Immunization Record - Applicants Under 16 Years

01
Obtain the Canada Immunization Record form from a healthcare provider or online.
02
Gather immunization information, including dates of vaccinations and types of vaccines received.
03
Fill in the applicant's personal information, including full name, date of birth, and address.
04
List all relevant immunizations in chronological order, ensuring accuracy in dates and types of vaccines.
05
Provide the name and contact information of the healthcare provider who administered the vaccinations.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form if required, usually by a parent or guardian if the applicant is under 16 years.

Who needs Canada Immunization Record - Applicants Under 16 Years?

01
Children under 16 years of age applying for Canadian immigration.
02
Students enrolling in Canadian schools who need to provide proof of immunization.
03
Individuals participating in camps or activities that require immunization records for health and safety compliance.
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For infants and children beginning primary immunization at 7 months of age and older, the number of doses of Hib vaccine required varies by age. Diphtheria toxoid- tetanus toxoid- acellular pertussis- hepatitis B- inactivated polio- Haemophilus influenzae type b (DTaP-HB-IPV-Hib).
You can use ICON (Immunization Connect Ontario) to view or print an immunization record for you or your child. ICON is a new provincial program that allows the public to access their immunization records and obtain yellow cards. The site is maintained by the Ontario Ministry of Health and Long-Term Care, not the PHU.
Recommended vaccine schedule for school-age children & teens VaccineGrade 6Grade 9HPV1 (human papillomavirus)2 doses 2nd dose 6 months after 1st doseVaricella2 (chickenpox)1 or 2 doses2 2nd dose at least 3 months after 1st doseMeningococcal Quadrivalent Conjugate1 doseTdap (tetanus, diphtheria, pertussis)1 dose1 more row
To obtain or inquire about an immunization record, or for general immunization information, please contact your local public health unit.
Need to check if your child's had an immunisation? Access your child's NHS health records quickly and easily through eRedbook once your child's record is connected to the NHS. eRedbook stores information about immunisations, health reviews and screening tests securely in the cloud so they are always at hand.
To access or print an immunization record, visit Immunization Connect Ontario (ICON).
Immunization against diphtheria, tetanus, pertussis and polio is required by law for all children attending school in Ontario, unless exempted.
You can use ICON (Immunization Connect Ontario) to view or print an immunization record for you or your child. ICON is a new provincial program that allows the public to access their immunization records and obtain yellow cards. The site is maintained by the Ontario Ministry of Health and Long-Term Care, not the PHU.

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The Canada Immunization Record - Applicants Under 16 Years is a document that provides a comprehensive record of immunizations received by individuals under the age of 16. It is typically required for various health and immigration purposes.
The Canada Immunization Record - Applicants Under 16 Years is required to be filed by parents or guardians of children under 16 years of age, particularly when applying for certain immigration procedures or enrolling in school.
To fill out the Canada Immunization Record - Applicants Under 16 Years, the parent or guardian must provide details such as the child's name, date of birth, vaccination dates, vaccine types, and the name of the healthcare provider who administered the vaccines.
The purpose of the Canada Immunization Record - Applicants Under 16 Years is to ensure that individuals under 16 have received the necessary vaccinations required for public health and safety, and to facilitate the documentation required for immigration and schooling.
The information that must be reported on the Canada Immunization Record - Applicants Under 16 Years includes the child's full name, date of birth, vaccine administration dates, types of vaccines received, and the name and signature of the healthcare professional who provided the immunizations.
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