Immunization of School Pupils Act (ISPA)
Immunization protects children from many serious diseases that are easily spread in schools.
Under the Immunization of School Pupils Act all primary and secondary students need to have proof of immunization against:
- Diphtheria
- Tetanus
- Polio
- Measles
- Mumps
- Rubella
- Meningococcal Disease
- Pertussis (whooping cough)
- Varicella (chickenpox)
- Required for children born in 2010 or later
View the complete immunization schedule.
Report to Public Health
The Act requires that Public Health maintain the immunization records of all primary and secondary students in Waterloo Region. Without proof of immunizations or a valid exemption your child may be suspended from school until records are provided.
Parents are required to report these immunizations to Public Health to ensure school attendance for their child. Your school does not collect immunization information.
You can report immunization records to Public Health
- Phone: 519-575-4400 ext. 5001 (8:30 a.m. to 4:30 p.m., Monday to Friday)
- Online: e-Immunization Online
- In Person: 99 Regina Street South, Waterloo or 150 Main Street, Cambridge
Received a letter?
If you received an immunization notice for your child it is because Public Health does not have complete information on file. It could be because:
- You have not reported your child's immunizations to Public Health
- Contact Public Health to update your child's records
- Your child is overdue for one or more immunizations
- Book an appointment with your health care provider, bring the immunization notice to ensure the correct immunizations are given
- If you do not have a health care provider or health card, call Public Health at 519-575-4400 or visit an ISPA Clinic
- You have chosen not to have your child immunized for medical, religious or philosophical reasons but have not provided us with a legal exemption form
Vaccine Exemption
You may decide for medical, religious or philosophical reason not to immunize your child. You will need to provide a valid written exemption to Public Health.
If the diseases appears in your child's school you child may have to stay out of school/child care until the disease is no longer present.
For medical exemptions, a legal Statement of Medical Exemption (ISPA) must be forwarded to Public Health.
The Immunization of School Pupils Acts was recently amended to change the process for non-medical exemptions (statements of conscience).
All parents seeking a Statement of Conscience are encouraged to call the Vaccine Preventable Diseases information line at 519-575-4400 ext. 5003 to speak with a Public Health Nurse about this new process. A nurse is available Monday to Friday from 8:30 a.m. to 4:30 p.m.
ISPA Clinics
School Immunizations
Public Health offers clinics each year in schools for all students in Grade 7 to receive their Hepatitis B, HPV and Meningococcal vaccines.
Contact Us