Skip Navigation Links








Vaccination Status Form
As per the Prevention and Management of Influenza Policy (VI-d-120-124),all Sinai Health System employees are required to provide their Influenza Vaccination Status if they receive the influenza vaccination elsewhere or are declining the vaccination (for medical or personal choice reasons). This will ensure that your records with Occupational Health is accurate should an influenza outbreak occur. If you are submitting your vaccination record, please e-mail it to flu@sinaihealth.ca or fax it to Occupational Health at 416-361-2663. If you are declining the vaccine please complete below:


 

Save Cancel
Last Name  
First Name  
Manager Name:  
Department  
Position  
Contact Email  
Contact Phone Number  
FLU VACCINATION SECTION 
Decline
Please check the most appropriate box from the 2 options below:


SHS strongly encourages all staff to be immunized against influenza and require any staff declining vaccination to be aware of the facts before doing so.
I have read the Flu Information for 2020
Other/
Notes:
Last Update
Save Cancel