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Immunization and Communicable Disease Form (Health Centre)

Students in the programs listed below need to complete and file with us their completed Immunization and Communicable Disease Form as soon as possible prior to their work placement term.

Mail or fax your complete health record to:

Confederation College Health Centre-REACH BUILDING
1450 Nakina Drive
P.O. Box 398
Thunder Bay, Ontario
P7C 4W1
Fax: (807) 473-3706

Programs or Courses with a Work Placement component that need to complete this form include:


Health Sciences and Community Services

Distance Education Programs:


Programs that require Chicken Pox Status:

(*hb) In addition, those programs above marked with an  (*hb) designation:

  1. Hepatitis B is mandatory for Paramedic, PN, PSW, MRT, MLA and Dental  students.

  2. Influenza-vaccination against influenza for those working in health related fields is strongly recommended. If there is a flu outbreak on your clinical placement site and you cannot provide proof of having received a current flu shot, you may not be allowed to continue your placement.