Health - Forms, Reports, Updates

Below are forms and reports that for immunizations and vaccines. You can either complete the forms directly on the computer or by hand, before submitting to the Health Unit. Note all forms and diagrams are PDFs.

Forms & Reports

Adverse Events Following Immunization Form (AEFI).
Ministry of Health & Long-Term Care, October 2010.
Complete this form if a patient is experiencing AEFI.

Vaccine Order Form.
Huron County Health Unit, August 2011.
Order vaccines as needed with this form.

Cold Chain Failure Report.
Huron County Health Unit, Oct 2010.
Document cold chain failures and send to the Health Unit.

Guidelines & Links

Cold Chain: Temperature is Below +2°C.
Huron County Health Unit, June 2009.
Decision tree of what to do when temperature drops below +2°C.

Cold Chain: Temperature is Above +8°C.
Huron County Health Unit, June 2009.
Decision tree of what to do when temperature rises above +8°C.

National Vaccine Storage and Handling Guidelines for Immunization Providers, 2007.
Public Health Agency of Canada, 2007.
Federal guidelines on storing and handling vaccinations for immunization providers.

Adverse Events Following Immunization Information.
Ministry of Health & Long-Term Care, May 2006.
Describes what a reportable event is and how to document it.

Vaccine Storage & Handling Guidelines.
Ministry of Health & Long-Term Care, May 2009.
Cold chain, storage and handling explained.

Immunizations eLearning Modules.
Windsor-Essex Health Unit.
Two online, self-directed modules; "Maintain the Cold Chain" and "Multiple Injections".

Rotavirus Eligibility Chart
Ministry of Health & Long-Term Care, July 2011
Rotarix® Eligibility and Schedules.

MMR, Varicella and MMRV vaccine timing
Huron County Health Unit, September 2011
One page summary of MMR, Varicella and MMRV spacing..

MMRV Eligibility Chart
Ministry of Health & Long-Term Care, July 2011
MMR, Varicella and MMRV Eligibility and Schedules.

Publically Funded Vaccine Schedule
Ministry of Health & Long-Term Care, July 2011
The Ministry of Health and Long-Term Care is offering two new vaccines and expanding the availability of two others as part of its immunization program..

Updates & Notices

Presentation on New Vaccines
Huron County Health Unit, August 2011
This is a copy of the presentation provided by the Health unit to Health Care Providers outlining the new expanded publicly funded vaccination program..

New Publically Funded Vaccines
Ministry of Health & Long-Term Care, July 2011
The Ministry of Health and Long-Term Care is offering two new vaccines and expanding the availability of two others as part of its immunization program..

Introducing Prevnar®13 for Immunization Against Invasive Pneumococcal Disease (IPD) for Infants and Children: Update.
Ministry of Health and Long-Term Care, November 9, 2010.
Information that a new pneumococcal conjugate vaccine is now available and publicly funded in Ontario for infants and children. NOTE: New vaccine schedule in effect.

Mumps Outbreak in Ontario: Update.
Huron County Health Unit, December 11, 2009.
Update on the mumps outbreak in Ontario for Health Care Providers.

Contact & More Information

Contact the Health Unit if you have any questions surrounding vaccines. Call the Health Unit at 519.482.3416 or 1.877.837.6143.