Immunization Form

Immunization Information 

All residents must complete this form [PDF - 76kB].

Please ensure all your immunizations are updated according to the immunizations listed. 

If trainees have not received Hepatitis B shots, we suggest you start the process immediately since it could take up to 6 months to complete.  Also, please ensure that your DTP includes Pertussis

You must provide documentation/titres of your immunizations.

Dalhousie Graduates may provide their DalMedix as their supporting documentation.

Access the form via DalMedix