Parents/guardians can submit their child’s vaccination information to Toronto Public Health.


Ontario’s Immunization of School Pupils Act (ISPA) requires that students be vaccinated against nine designated diseases or have a valid exemption. Toronto Public Health (TPH) reviews immunization records of students attending school in Toronto in accordance with the ISPA.

Beginning mid-January, TPH plans to send letters to parents/guardians of grade 11 and 12 students who are not up-to-date with their vaccines according to TPH’s records. Letters will be sent directly to parents/guardians on a rolling basis until early February 2023.

Vaccination is important for the health of each student and the school community.

Ontario’s Immunization of School Pupils Act (ISPA) requires that students be vaccinated against nine designated diseases or have a valid exemption:

  • Measles
  • Mumps
  • Rubella
  • Diphtheria
  • Tetanus
  • Polio
  • Meningococcal
  • Pertussis (whooping cough)
  • Varicella (chickenpox) – only applies to students born on or after 2010

If you got a letter from Toronto Public Health, it means that we do not have your child’s up-to-date vaccination record.

Check your child’s yellow vaccine card to see whether they got the required vaccines. If you are unsure, speak to a health care provider.

Parents are responsible for reporting child immunizations to Toronto Public Health. Health care providers do not have this responsibility.

Ways to report your child’s vaccination record to Toronto Public Health

  • Submit online using ICON.
  • Mail a copy to Toronto Public Health, 2340 Dundas Street West Toronto, Ontario, M6P 4A9.
  • Fax to 416-338-2487. On the fax cover sheet, make sure to include information that identifies the child (name, date of birth, OIID or health card number) and parent’s contact information.
  • Email a copy to Note that email is not a secure way to send health information but is an option.

You can also use these options to report vaccinations from outside Ontario/Canada or records in languages other than English.

What to do if:

  • Your child is missing one or more of the required vaccines:
    • Make an appointment with a health care provider to get vaccinated for free. Report the vaccination to Toronto Public Health. See options above.
  • Your child already got the required vaccines:
    • Report your child’s vaccination record to Toronto Public Health. See options above.
  • You already reported your child’s immunization but still got a letter:
  • Your child has a valid vaccine exemption or you would like to request one for your child:

About Immunization Connect Ontario (ICON):

ICON (Immunization Connect Ontario) is a secure online provincial system used to track and report a child’s immunizations to Toronto Public Health.

To use ICON you will need to create an account and set a Personal Identification Number (PIN), and will require your child’s:

  • Ontario Health Card (OHIP), OR
  • Child’s Ontario immunization ID (OIID -13 digit #) found on the letter sent from Toronto Public Health

Once your child’s vaccination record is complete in ICON, you can access a copy of their vaccination record when needed. For example, ICON can generate an electronic yellow vaccination card when proof of vaccination is required.

Go to a health care provider to get your child vaccinated. Take the letter you got from TPH to the health care provider so they know which vaccines you need.

Vaccines required are not available at City-run clinics for elementary students. If a student is in Grade 7 or higher and needs the meningococcal vaccine, book an appointment at

If you do not have a health care provider please contact Health Care Connect for information and assistance.

Walk-in clinics may be able to offer these free vaccines – call in advance to make sure.

If your child does not have OHIP or health insurance, contact a clinic that provides free health care to uninsured people.

Call a health care provider or contact Toronto Public Health at 416-338-7600 (language interpretation available) or email at

Learn more about the Province’s School Immunization Checklist and Vaccine Preventable Diseases.