If you reside in Ontario and received your vaccination(s) in another province or country
This form is to be completed by individuals who have received one or both doses of COVID-19 vaccine outside of Ontario.
In the form, you will be asked to submit demographic information, vaccine information and proof of vaccination (e.g., a vaccine receipt). If you do not have proof of vaccination, we encourage you to contact the location that administered the vaccine to receive a copy of the details before completing this form.
If you require your second dose in WDG and got your first dose outside of Ontario
Please note you must bring your proof of vaccination with you on the day of your second dose appointment.
Personal information is collected under the authority of s. 5(2) of the Health Protection and Promotion Act. This information will be used for the control of disease and the provision of immunization services, in compliance with legal and regulatory requirements.
Any questions about the collection of personal information should be addressed to the Chief Privacy Officer, 160 Chancellor’s Way, Guelph ON, N1G 0E1, 1-800-265-7293 ex. 2975, firstname.lastname@example.org