What the school law covers
For students under 18, Ontario’s school vaccination law—the Immunization of School Pupils Act (ISPA)—requires proof of the vaccinations needed for their age against the following diseases, unless a valid exemption is on file:
- Diphtheria, tetanus, polio and whooping cough (pertussis).
- Measles, mumps and rubella.
- Meningococcal disease.
- Chickenpox (varicella), for children born in 2010 or later.
Public health assesses dose dates, vaccine types, age and documentation. The website cannot determine compliance. Licensed child care has a separate process; ask the child care centre and public health unit.
Offered at school ≠ required for school
| Vaccine | School-attendance requirement? |
|---|---|
| Meningococcal ACYW | Yes — meningococcal disease is one of the diseases the school law covers. Public health confirms that the doses meet the requirements for the child’s age. |
| Hepatitis B | No — recommended and publicly funded through the school program, but not required for attendance. |
| HPV | No — recommended and publicly funded through the school program, but not required for attendance. |
Vaccines require informed consent. Teens can ask the vaccinator about consent, privacy and their own questions. School requirements and consent to treatment are separate issues.
Keep the public health record current
- Keep a copy of the record after every dose.
- Report doses given outside public health clinics to your local public health unit; do not assume the clinic has done this for you.
- Use the record-reporting or ICON link on your public health unit’s own website. Public health may already hold doses given in its school clinics; check what is on file.
If you received a notice
A notice may mean a dose is missing or that public health does not have the record. Read the deadline and contact the unit named on the notice. Compare its list with your records, submit any missing documentation and arrange a provider review if needed.
Ask public health to confirm that the matter is resolved. Booking an appointment or sending a record does not by itself confirm that a suspension order has been lifted.
Exemptions and outbreak exclusions
Medical exemptions require the official form completed by a physician or nurse practitioner and submitted to public health. A documented immunity assessment may be relevant. For a non-medical exemption, Ontario requires an education session, the appropriate sworn or affirmed form and submission through the public health unit.
- Ontario — Statement of Medical Exemption (4895-64)
- Ontario — Statement of Conscience or Religious Belief (4897-64)
Contact public health for the exact process and required originals. During an outbreak, a child who is not protected may be excluded temporarily, including a child with an exemption. Public health determines return-to-school instructions.
This is a general explanation, not legal advice.
Sources
- Ontario — vaccines for children at school
- Ontario — Statement of Medical Exemption (4895-64)
- Ontario — Statement of Conscience or Religious Belief (4897-64)
- Ontario — find your public health unit
Program details can change. How this guide is reviewed