Report Changes to your Ontario Health Card Information

All individuals are responsible for providing accurate, up-to-date vaccination information.

Residents of Niagara region who have recently updated their health card information with Service Ontario can report these updates to Niagara Region Public Health to ensure any changes are accurately reflected in the provincial COVaxON vaccination database.

Reasons for submitting this form include:

  • Change in first, middle or last name
  • Change of address
  • New residents to Ontario who have just received an Ontario health card number

If you have any question or concerns and would like to talk to a public health professional, call 905-688-8248 ext. 7425.

* = Required

Contact Information

* Date of birth

Niagara address
If you don't have an Niagara address, wait until you have one to submit your record

Identification Information

Photo of your current Ontario health card

  • Only jpg, png and pdf files are accepted
  • Up to 5 MB file size each, no more than 10 MB total


You may be contacted by a hospital, local public health unit or the Ministry of Health for purposes related to the COVID-19 vaccine (for example, to remind you of follow up appointments and to provide you with a record of immunization). You must consent to this to complete this form.

Notice of Collection

Any personal information or personal health information submitted will be collected, used, and disclosed, where applicable, by members of Regional staff according to the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. Any information you share will only be used for the intended purpose for which it was provided.

For questions or comments about privacy practices, or for more information about the administration of the Municipal Freedom of Information and Protection of Privacy Act in Niagara Region programs, see Freedom of Information and Open Government.

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