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Hastings and Prince Edward Public Health
young girl with teddy bear being vaccinated

Daycare and School Immunizations

Please note: HPEPH school immunization clinics are temporarily suspended in response to the COVID-19 pandemic. However, it is important to keep up to date with childhood vaccines. Vaccines normally offered in schools, as well as other regular childhood vaccines, are still available through your health care provider, or by booking an appointment at HPEPH. To book an appointment, call 613-966-5500 or 1-800-267-2803, ext. 221.


Being fully immunized protects children against diseases that can be dangerous and easily spread to others. HPEPH collects and maintains records for all daycare and school age children, in accordance with the Child Care Early Years Act (CCEYA) and the Immunization of School Pupils Act (ISPA).

In Ontario, health care providers do not automatically report immunizations to their local public health agency. Parents and guardians are responsible for reporting their child’s immunizations to Public Health.

If you decide not to immunize your child, please review our Deciding Not to Immunize section at the bottom of this page.

Requirements for Daycare

Under the Child Care Early Years Act (CCEYA), children attending a licensed child care facility (and not attending school) must be immunized as recommended by the local MOH, or if a decision is made not to immunize, parents must provide public health with the the appropriate exemption documents. For children attending daycare, the CCEYA requires Public Health to have up-to-date immunization information for the following diseases:

  • Diphtheria
  • Tetanus
  • Pertussis
  • Polio
  • Haemophilus influenzae (type b)
  • Measles
  • Mumps
  • Rubella
  • Varicella
  • Meningococcal disease
  • Pneumococcal disease
  • Rotavirus (as eligible)

Under the Child Care Early Years Act (CCEYA), children can be denied entry to daycare if their immunization records are not up to date. Avoid this by updating your child’s immunization record.

Requirements for School

For children attending school, the ISPA requires Public Health to have up-to-date immunization information for the following diseases:

  • Diphtheria
  • Tetanus
  • Polio
  • Measles
  • Mumps
  • Rubella
  • Pertussis (whooping cough)
  • Varicella (chickenpox)*
  • Meningoccal disease

* For children born in 2010, or later.

Under the ISPA, students can be suspended from school if their immunization records are not up-to-date with Public Health. Avoid this by updating your child’s immunization record.

Which Vaccines are Provided at School?

HPEPH works with local school boards to deliver certain vaccines in the school setting. Grade 7 vaccinations (hepatitis B, HPV and meningococcal) are provided in local schools each year. All vaccines are provided free of charge. The school immunization program involves the following:

  • Parents will be asked to sign and return a consent form before the clinic day. For more information, review our Grade 7 Vaccinations overview.
  • On the clinic day, an experienced Public Health nurse will use different strategies to minimize any discomfort, like distracting your child and asking your child to relax his/her arm.
  • It’s possible that your child may receive up to three separate shots, one for each immunization, during a clinic.
  • Your child will receive the immunizations in the upper arms. On clinic days, they should wear clothes that will allow easy access to their arms. The nurse will ask your child some questions about his or her health before beginning the immunization(s).
  • If your child is absent on the day of the immunization clinic, please contact us to make other arrangements.
  • Sometimes students may experience minor side effects, such as pain, swelling or redness in the arm. 

Deciding not to Immunize

If you decide not to immunize your child, you must submit one of the following notarized documents:

Affidavits must be signed in the presence of a Notary Public or a Commissioner of Oaths prior to bringing the originals to a Public Health office.

If you are submitting a Statement of Conscience or Religious Belief for school age children, you are also required to complete an education session offered through Public Health. Please call us at the number below to book an education session.

Related Links:

Need More Information About Daycare and School Immunizations?

For more information, or to book an appointment in Belleville, Trenton, Bancroft or Picton, call 613-966-5500 or 1-800-267-2803, ext. 221.

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We are gradually resuming in-person services at HPEPH by appointment only at this time.  Please review our Service Interruptions page for more information.

All program lines and the COVID-19 information line operate Monday to Friday from 8:30 am to 4:30 pm (excluding statutory holidays).

To assist us with our efforts to stop the spread of COVID-19, we ask anyone visiting the office for an appointment to:

  • bring a non-medical mask, physical distancing may not be possible during your appointment
  • maintain physical distance of at least 2 metres, both inside and outside the office
  • review symptoms of COVID-19, and reschedule your appointment if you have symptoms of the virus, or any other illness
  • reschedule your appointment if a family member or other close contact is ill
  • use accessible buttons to open doors, instead of handles
  • use hand sanitizer when entering and exiting the building

We have made additional changes to prevent the spread of COVID-19. If you are visiting our office for an appointment, you can be confident that we are:

  • increasing our cleaning, in alignment with heightened infection control protocols
  • considering alternatives to in-person appointments and meetings when possible
  • screening staff and visitors for symptoms of COVID-19
  • offering in-person services by appointment only to reduce traffic in office
  • ensuring staff wear masks and/or other protective equipment when seeing clients

Please continue to our website for more information about our programs and services.