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Hastings and Prince Edward Public Health
young man received vaccine from nurse

Vaccine Order Forms and Information

Routine Vaccines and STI Medication

Vaccine pickup times:
TrentonMonday to Wednesday 8:30 a.m. to 4 p.m.*
BellevilleMonday to Friday – 8:30 a.m. to 4 p.m.
BancroftTuesday and Thursday – 8:30 a.m. to 4 p.m.*
PictonMonday to Friday – 8:30 a.m. to 4 p.m.*
*No pick ups between noon and 1 p.m. at these offices.

Order Forms

Select the appropriate pdf order form from the list below, and return by fax to 613–966–8145.

  1. Vaccine/STI Medication Order Form
  2. School Based Vaccine Order Form
  3. High Risk Vaccine Order Form
  4. Respiratory Syncytial Virus (RSV) Vaccine Order Form

Influenza Vaccine

Publicly Funded Immunization Schedules

Returning Vaccines

To return non-reusable vaccines, please complete our Non-Reusable Vaccine Return Record

COVID-19 Vaccinations

Learn about Ontario’s vaccination eligibility and recommendations to help protect us against COVID‑19.

For additional information and resources, please visit our COVID-19 Resources for Health Care Providers page.

Immunization Fact Sheets/FAQs

Exemptions and Vaccine Hesitancy

Reporting Cold Chain Failures

Vaccines are to be kept between +2 °C and +8 °C at all times. All Health Care Providers should be familiar with the Ministry of Health’s Vaccine Storage and Handling Guidelines. Administering improperly stored vaccines can result in a poor immune response and a lack of protection for clients. If your vaccine has been exposed to temperatures below +2 °C and/or above +8 °C you should:

  1. Call Hastings Prince Edward Public Health immediately at 613-966-5500 or 1-800-267-2803, ext. 222 to report the exposure. Public Health staff will conduct an assessment of the exposed vaccine.
  2. Segregate the exposed vaccines in the refrigerator by placing these vaccines in a labelled container (or bag), marked with the date, time, and “DO NOT USE”.
  3. Check to ensure your temperature monitoring device is working correctly. If in doubt, replace the battery.
  4. After checking the temperature monitoring device and the refrigerator, record the date, time and temperature in your temperature log book. Always remember to reset your maximum-minimum thermometer (if applicable) after each recorded temperature.
  5. If the current temperature is too low or too high, move these vaccines to a properly functioning, monitored refrigerator, or place the vaccines in an insulated container with ice packs and a temperature monitoring device inside the vaccine package. Insulated containers will only keep vaccines at the appropriate temperatures for a short period of time (approximately two hours).

For more information about Cold Chain, call Hastings Prince Edward Public Health at 613-966-5500 or 1-800-267-2803, ext. 222.

HPEPH’s Role in Providing Immunization Information and Services

In addition to providing immunizations to local health care providers and pharmacies, we offer recurring immunization clinics and appointments at all of our offices, and hold seasonal flu clinics throughout the community.

Need More Information About Vaccine Order Forms and Information?

Call 613-966-5500 or 1-800-267-2803, ext. 221.

News, Research and Reports RELATED TO: Healthcare Providers

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South East Health Unit

As of Jan. 1, 2025 Hastings Prince Edward Public Health; Kingston, Frontenac and Lennox & Addington Public Health and the Leeds, Grenville and Lanark District Health Unit will merge to form the South East Health Unit.

Partners and members of the public should continue to engage with their local public health offices as usual until otherwise directed.

Efforts are underway to develop branding for the South East Health Unit, which will take several months. In the meantime, you will see logos and other advertising material with Hastings Prince Edward Public Health branding. You may also see some documents using the legal name South East Health Unit.