Downloadable Resources for Health Professionals

pH1N1 prequalification package

• Application form to qualify as an alternate delivery agent to be returned by fax
• Pandemic influenza H1N1-2009 immunization program participation Q&A
• AREPANRIX ™ reconstitution recommendations
• Pandemic adjuvanted H1N1 vaccine order form - 2009
• Pandemic unadjuvanted H1N1 vaccine order form
• Aggregate data collection tool
• Vaccine Wastage Form

Pandemic adjuvanted H1N1 vaccine order form – 2009 [PDF 50 KB]

Please contact 613- 580-6744, ext. 23738 for more information

Pandemic unadjuvanted H1N1 vaccine order form – 2009 [PDF 46 KB]

Please contact 613- 580-6744, ext. 23738 for more information

Seasonal influenza vaccine order form [PDF 68 KB]

Please contact 613- 580-6744, ext. 23738 for more information

Vaccine-associated adverse event report form [PDF 66 KB]

To report a vaccine-associated adverse event, complete the reporting form and phone Ottawa Public Health Vaccine Preventable Diseases Branch at 613-580-6744, ext. 23634.

Order form for publicly funded vaccines for Ontario [PDF 246 KB]

To order vaccine, fax the order form to 613-580-2783 or phone 613-580-6744 ext.24225.