Non-Medical Exemption – School-Aged
Step 1
Watch the mandatory Vaccine Education Video developed by the Ontario Ministry of Health that covers the following topics:
• Basic information about immunization
• Vaccine safety
• Immunization and community health
• Immunization law in Ontario
Step 2
Complete Public Health’s Vaccine Education Survey to receive your Vaccine Education Certificate. Print copies – one to submit and one for your records.
Step 3
Complete a Statement of Conscience or Religious Belief Form (JK-Grade 12) and bring it to an Ontario Commissioner for Taking Affidavits to have it notarized. The following qualify as a Commissioner for Taking Affidavits:
Member of Provincial Parliament, Provincial Judge, Justice of the Peace, Clerk, Deputy Clerk or Treasurer of Local Municipalities in which their local municipality is situated, Head of Municipal Council in which their local municipality is situated, Member of City Council (reeves) in which their local municipality is situated, Notary Public, Barristers and solicitors entitled to practice law in Ontario, Any individual who is empowered by the Lieutenant Governor to be a commissioner (a stamp is required for these individuals).
Step 4
Complete a Statement of Conscience or Religious Belief Form (JK-Grade 12) and bring it to an Ontario Commissioner for Taking Affidavits to have it notarized.
Additional Information
Complete a Statement of Conscience or Religious Belief Form (JK-Grade 12) and bring it to an Ontario Commissioner for Taking Affidavits to have it notarized.
Health Services Appeal and Review Board Decision
Please be advised that on June 18, 2019 the Health Services Appeal and Review Board (HSARB) ruled that the Respondent does not have the ability or the discretion to alter the terms and content of the prescribed (ISPA/CCEYA Affidavit) form. The content of the form, whether it is that portion which contains the information the legislature has specifically determined needs to be communicated or whether it relates to the wording of the Affidavit itself is a matter for the legislature. It is simply not open to the Respondent to alter a prescribed form or the Affidavit contained in it or to accept an altered form in fulfillment of the requirements of the Immunization of School Pupils Act, RSO 1990. Because of this decision, effective September 18, 2024 the County of Lambton will no longer accept any affidavits with alterations. You can access the full details of this decision by visiting the Health Services Appeal and Review Board.
Sources: Immunization of School Pupils Act