Immunizations protect children from many serious vaccine-preventable diseases that are easily spread in schools.

The Immunization of Schools Pupils Act (ISPA) requires all elementary and secondary school students to have proof of immunization against:

  • Diphtheria
  • Tetanus
  • Polio
  • Measles
  • Mumps
  • Rubella
  • Meningococcal Disease
  • Pertussis (whooping cough)
  • Varicella (chickenpox) – for children born after 2010

Without proof of immunization — or a valid exemption — students may be suspended from school until updated records are provided to Region of Waterloo Public Health.

This year, Public Health will send a letter directly to families whose immunization records are not up to date.

Suspensions for out of date immunizations for elementary students will begin on March 27, 2019.

What do I do if my child is not immunized?

Contact your health care provider and book an appointment to receive any needed immunizations.

Be sure to bring your immunization record with you.

If you do not have a health care provider, call Public Health at 519-575-4400 or make an appointment with the Immunization of School Pupils Act (ISPA) Clinic by contacting Public Health at 519-575-4400 ext. 5003.

How do I report my child’s immunizations?

Please submit all immunization records directly to Region of Waterloo Public Health. Do not submit them to your school.

You can submit records online at or by calling 519-575-4400 ext. 5001 (8:30 a.m. to 4:30 p.m., Monday to Friday) or in person at any Public Health location – 99 Regina Street South, Waterloo or 150 Main Street, Cambridge.

Please click HERE for more information about ISPA and the student immunization process.