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public health > health professionals > vaccine order request 2022

Vaccine Order Request

To help slow the rate of COVID-19, Meadowvale, Malton and the Davis Centre are closed until further notice. Visit affected services and facilities to stay up-to-date.
Vaccine order processing timelines have been extended to five business days (excluding weekends and holidays).

The Peel Region Vaccine Order Form is disabled from October 5th to October 12th, 2023. Please revisit on October 13th at 8:30 AM to place an order.

If you are interested to order COVID-19 vaccine, please complete the onboarding steps that can be found here

You must provide an email address for online orders so that we can send you a confirmation email for receipt of your order.

NEW THIS SEASON: The Vaccine Order Desk staff will be responding to inquiries via email at VMPIOrderRequests@peelregion.ca.

I have confirmed:






Order Information
(*) Mandatory fields
RMP_MS_

Date of Pick-up: Five Business days after order is received.
(For exceptions, see Delivery or Pick-up Preference section)














Yes No

Ext.



* Delivery or Pick-up Preference
Orders must be submitted 5 business days prior to delivery

Please choose a pick-up location:




Type of Refrigerator

Please indicate the number of refrigerators approved for storage of vaccine:



* Please order no more than a ONE month supply of vaccines

Note: If you are not ordering the vaccine, Current Stock is not required.

Vaccines
For more information about vaccines, visit Ontario's Publicly Funded Immunization Schedules
Vaccine
must be ordered
in increments of:
Current Stock
(# of doses)
# of Doses
Required
Act-Hib® (HIB): 1 dose
Adacel® / Boostrix® (Tdap): 5 doses
Adacel® Polio / Boostrix® Polio (TdapIPV): 10 doses
IMOVAX® - Inactivated Polio (IPV): 1 dose
Nimenrix® (Men-C-ACYW)
Students grade 7-12 or
Born in or after 1997 (not received in school)
1 dose
Menjugate® / NeisVac-C® (Men-C)
For children ≥ 12 months to 11 years (grade 6)
or For adults born 1986-1996
10 doses
MMR® II / Priorix® & diluent (MMR)
For age 12 months and older:
10 doses
Pediacel® (DTaP-IPV Hib): 5 doses
Pneumovax® 23 (Pneu PS): 10 doses
Pneumococcal Immunization Decision Tool High Risk Patient
Prevnar® 13 (Pneumococcal Conjugate)
For less than age 2 years or
For adults age 50 years and older who meet high-risk criteria:
10 doses
Pneumococcal Immunization Decision Tool High Risk Patient
Priorix Tetra / ProQuad ® & diluent (MMRV): 10 doses
Rotarix (Rotavirus): 10 doses
Td Adsorbed
(For age 7 years and over):
5 doses
Tubersol® - TB Mantoux: 10 doses
Varivax® III / Varilrix® & diluent(Varicella): 10 doses
Shingrix® 10 doses
Shingrix® 1 dose
Do you have a booked appointment for clients between ages 65 to 74 years of age?
Yes    No
  • Order for booked patients between ages 65 to 72 who did not receive Zostavax®.
  • Prioritize for patients born in 1949, 1950, 1951, 1952 or 1953. They will remain eligible until December 31, 2024.
Vaccine Related Supplies

Quantity:
Quantity:
Quantity:

* Thermometers are no longer available for order through the Region of Peel.
Click here to view a sample list of recommended products.

If you have been advised to submit your vaccine refrigerator temperature logs with your vaccine order, please note the following:

  • Submit your logs the same day as your order.
  • Send logs from the date of your last order to todays date.
  • Orders missing temperature logs will not be processed.

Send by email or fax at:
ZZG-VMPIOrderRequests@peelregion.ca.
905-565-9874


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Revised: February 26, 2024

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