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public health > health professionals > influenza vaccine order request 2020/2021

Influenza Vaccine Order Request 2020/2021

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.

Please provide a valid email address. We will use this email address to confirm that we received your order.

Before filling out this request, please confirm:




Order Information
(*) Mandatory fields
RMP_MS_



















Yes No

Ext.



* Delivery or Pick-up Preference (Select One)

Free vaccine delivery for Influenza Vaccine Orders is now available. Orders will be processed in queue regardless of delivery or pick-up preference.

NEW this Year: Please indicate the day(s) that your office is closed.

We will schedule our deliveries accordingly, anytime between 9:00 am to 4:30 pm on the days that you are open. You will be notified of your delivery date by email or fax one day before your scheduled delivery. If you are unable to receive your vaccine on this date, please email VMPIOrderRequests@peelregion.ca or fax 905-565-9874 by 4 PM.

Failure to receive your vaccine on the days you are open will result in your facility being charged courier costs.

Please select the days you are closed:

closed Monday
closed Tuesday
closed Wednesday
closed Thursday
closed Friday
Please note your delivery date will be delayed if your office is closed for 3 or more days.
If you have been notified of your delivery day, your office must be open during your lunch hour to receive your influenza order.

OR
I am open Monday to Friday between the hours of 9 AM - 4:30 PM

You will receive an email or fax stating when your order is ready for pick up. Orders must be picked up within 3 business days (excluding weekends and holidays).




Type of Refrigerator

Influenza vaccine should be stored in the refrigerator approved for vaccine storage as per your annual inspection. Please choose only one of the styles indicated below.

Bar Style
Lab Grade (half size)

Household

Lab Grade (full size)

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

Please note the following:

  • Provide current stock of ALL flu vaccine products in fridge.
  • Due to high volumes of influenza vaccine orders being processed, you may experience delays in receiving your vaccine orders.
  • Your vaccine order may be reduced based on current available stock (both provincially and at Peel Public Health) and your facility's previous season's influenza vaccine use and wastage.
Influenza Vaccine Brand Vaccine Formulation Vaccine Eligibility by Age Group Packaging
Fluzone® Quadrivalent
Flulaval® Tetra
QIV 6 months and older Multi-Dose Vial
*Fluzone® Quadrivalent Current Stock
*Flulaval® Tetra Current Stock
# of doses Required Vaccine must be ordered in increments of:10
 
Fluzone ® Quadrivalent QIV 6 months and older Single Dose Pre-filled Syringes
* Current Stock
# of doses Required Vaccine must be ordered in increments of:10
 
Flumist® Q-LAIV 2 years to less than 18 years of age Pre-Filled Single Use Intranasal Sprayers
* Current Stock
# of doses Required Vaccine must be ordered in increments of:10
Unavailable stock
 
Fluzone ® High-Dose TIV 65 years and older Single Dose Pre-filled Syringes
This vaccine is currently out of stock.
* Current Stock
# of doses Required Vaccine must be ordered in increments of:5
 
Vaccine Related Supplies
Quantity:
Quantity:

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

  • Submit your logs on 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 to:
VMPIOrderRequests@peelregion.ca
905-565-9874


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Revised:November 10, 2020

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