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

Healthcare providers are encouraged to order vaccines online using our streamlined online vaccine order form. This form allows you to order regular vaccines, school vaccines, and high risk vaccines.

Order Vaccines using the Online Vaccine / STI Supplies Order Form. Please note, at the current time, COVID-19 Vaccine Forms must be ordered through a separate form/process (see COVID-19 Vaccination Information below).

If you wish to continue using the PDF and fax ordering method, three forms are available below to print and complete.

  1. Vaccine/STI Medication Order Form
  2. School Based Vaccine Order Form
  3. High Risk 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 an Adverse Event Following Immunization

Health care professionals who administer vaccines and/or care for patients who may have had an Adverse Event Following Immunization (AEFI) are required by law to report these events to local public health authorities within seven days by completing the AEFI form.

Hastings Prince Edward Public Health’s Vaccine Preventable Disease Program provides regular immunization updates to local health care providers. We are mandated to enforce Ontario Ministry of Health’s Immunization Requirements for School Attendance and Immunization of School Pupils Act. Additional information supporting the benefits and applicability of immunization is available in the Canadian Immunization Guide and National Advisory Committee on Immunization (NACI).

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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COVID-19 vaccines in HPE

Eligible individuals can receive their vaccination at many participating local pharmacies by contacting the pharmacy directly. Please visit covid-19.ontario.ca/vaccine-locations for location and registration information.

Vaccine ordering for health care providers

Vaccine orders for routine immunizations and STI medications continue to be available through HPEPH by using our vaccine order forms; however, please note that our vaccine delivery/pickup procedure has changed. For the most up to date pick up schedule please visit hpePublicHealth.ca/vaccine-orders-info-healthcare-providers/.