Online COVID-19 Vaccination Reporting for Out of Province Records

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

Submit this form if you have received a COVID-19 vaccination outside of Ontario or if you received one or more doses from a non-Ontario vaccine stock (such as Federal stock used for correctional facilities, military groups or embassies).

We will only accept out-of-province vaccine information from those who live in Niagara. Any submissions received for clients who have an address outside of Niagara will not be processed.

Contact your local public health unit for direction on submitting a COVID-19 vaccine certificate (immunization record) if you live outside of the Niagara region.

This form is not for travel documentation purposes.

All personal information / personal health information collected by this secure form is confidential and will only be used and disclosed for the purposes of administration of the program. Public Health maintains and facilitates COVID-19 immunization records for all residents in a provincial database system.

Keep your original immunization document

It is very important that you keep your original COVID-19 immunization record stored in a safe location with other valuable documents such as birth certificates, health cards and passports.

Immunization record

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

The following fields are optional.

If you choose to submit a valid Ontario health card number, you will have access to the province portal to print your QR code receipt. If you do not have an Ontario health card, you have the option of entering a COVID-ID, non-Ontario health card, passport or licence number.

Non-Ontario health card, licence and passport numbers cannot be used to access the provincial portal, these are used for identification purposes in the provincial vaccination database.

Do you have an Ontario health card?

Personal Information

Reporting Information

Your COVID-19 vaccine certificate (record of immunization) is required to report your out-of-province vaccine. Contact your health care provider who administered the COVID-19 vaccines to get a copy of your vaccine certificate.

Vaccines administered in Canada

If your vaccine is received outside of Ontario but in Canada, proof of vaccine must be in the form of an enhanced vaccine certificate with a QR code. Consult with the relevant provincial or territorial website for information on how to get the enhanced certificate.

Vaccines administered outside of Canada

If your vaccine is received outside of Canada, you may show your own country's or jurisdiction's vaccine certificate to prove that you are vaccinated and must show your valid non-Canadian passport or NEXUS card as ID.

American Centers for Disease Control cards require additional proof of vaccination. Contact the clinic that provided your vaccination and request additional proof of vaccination (such as a scannable QR code, prescription receipt from the pharmacy or an electronic document from the clinic or region where your record is from).

Photos of your vaccination record sheet

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

If your proof of vaccination is contained on multiple photos or files, add a vaccine below to add a second photo or file with all the same information.


Booster doses are any doses received after completing the primary series.

* Does this vaccination image contain a QR code?


+ Add a vaccination

If you reach the photo maximum capacity limit, submit two separate submissions.

Contacting

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.

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Freedom of Information

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email foi@niagararegion.ca or call 905-980-6000 ext. 3779.

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