Immunization Requirements for Children

Immunization protects children from serious diseases that are still found circulating in our communities.  

In order to identify children susceptible to vaccine-preventable diseases, we collect, assess and maintain immunization records of children attending licensed child care.

The Child Care and Early Years Act requires licensed child care centres to ensure that all children in attendance are fully immunized or have a valid Ministry of Education exemption form on file.

By law children must be immunized against the following diseases as outlined in the Publicly Funded Routine Immunization Schedule for Ontario.

  • Tetanus, diphtheria, polio
  • Measles, mumps, rubella (German measles)
  • Meningococcal disease (meningitis)
  • Pertussis (whooping cough)
  • Varicella (chickenpox)
  • Haemophilus influenza type b

Pneumococcal, rotavirus, and annual influenza vaccine are also strongly encouraged.

Forms needed for immunization information collection

Before the child’s first day parents must provide the following:


  • Photocopy of an up-to-date immunization record

Child care centres should forward these items to Public Health soon after collection to ensure immunization information for each child is kept up-to-date.

Exemptions from immunization

As of August 29, 2016, amendments made to the Child Care and Early Years Act, 2014 now require that children attending licensed child care seeking exemptions from immunization for religious or conscientious reasons, or for medical reasons, must submit one of the Ministry of Education exemption forms found below:

Please note that exemptions made in writing before August 29, 2016 will expire on September 1, 2017 unless a new exemption using the Ministry of Education exemption form is submitted.

Child care centres should submit exemption forms to Public Health along with a completed Immunization Information Form for Licensed Child Care Settings (PDF, 2 pages, 160 KB) form at the time of enrollment. A copy of both forms is to be kept on file at the child care centre for review by a Ministry of Education licensing officer. Please note that the Ministry of Education, Child Care and Early Years Act 2014 exemption form will expire once a child enrolls in school and a new Ministry of Health and Long-Term Care exemption form under the Immunization of School Pupils Act will be required.