I, Dr. Hsiu-Li Wang, Medical Officer of Health for the Region of Waterloo Public Health, pursuant to section 6 of the Immunization of School Pupils Act, R.S.O.1990, c. l.1 (“Act”) hereby order the suspension of the above named pupil for a period of twenty school days.

• Suspensions start on April 9, 2026 for secondary (Grades 9 to 12)
• Suspensions start on May 7, 2026 for elementary (Junior Kindergarten to Grade 8)

The grounds for this order are as follows:

1. I have not received one of the following for the named student
   1. Submission to Region of Waterloo Public Health, signed by a physician, nurse or prescribed person showing immunization against the diseases that were communicated to you as missing from the student's record;
   2. An unexpired statement of medical exemption; or
   3. A statement of conscience or religious belief (commissioned affidavit required); and confirmation that the parent has completed the education session described in section 3 (3) of the Act; and
2. I am not satisfied that the pupil has completed, has commenced and will complete, or will commence and complete the prescribed program of immunization in relation to the disease(s) indicated above.

Parent/Guardian or Student if 16 years of age or older:

The immunization record on file with Public Health appears on page 3 of the suspension order.

Evidence of immunization, including date administered, can be submitted in person at Region of Waterloo Public Health, or online at regionofwaterloo.ca/vaccines.

If you have questions about this Order, please call 519-575-4400 between the hours of 8:30 a.m. to 4:30 p.m., Monday to Friday.

This order will be rescinded (the student may resume attendance at school) where circumstances for making the order no longer exist, such as:

• The immunization record is updated either via reporting of past immunizations or by receiving the immunization outlined above; or
• A statement of medical exemption or statement of conscience or religious belief (commissioned affidavit required) is submitted to Region of Waterloo Public Health and confirmation that the parent has completed the education session described in section 3(3) of the Act.

You are entitled to a hearing by the Health Services Review and Appeal Board if the parent (or pupil if 16 or 17 years of age) mails or delivers to the Associate Medical Officer of Health, the Health Services Review and Appeal Board and the person who operates the school, within 15 days after the notice is served on the parent or pupil, notice in writing requiring a hearing and the parent or pupil may so require such a hearing.

The addresses are as follows:

Medical Officer of Health

• 99 Regina Street South, Waterloo, ON, N2J 4V3

Health Services Review and Appeal Board

• 151 Bloor Street West, 9th Floor, Toronto, Ontario, M5S 1S4

School Principal:

• Please obtain this information from your respective school.

Your student’s name, date of birth, gender and contact information was provided by their school. If any of the information is wrong, please contact the school to have it corrected.

The information provided or attached to the Immunization Notice is being collected, and will be used by Region of Waterloo Public Health for the purpose of the medical officer of health maintaining an immunization record on the named student and to take appropriate action to prevent certain vaccine preventable diseases in the health unit. This information may be disclosed to the Ministry of Health or other health units for the purpose of the prevention of vaccine preventable diseases. For further details concerning this collection, contact us at 99 Regina Street South, Waterloo, Ontario N2J 4V3.