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.

• DOWNLOAD CDS Form
• DOWNLOAD BW Requisition

Mail or fax your complete health record to:

Confederation College Health Centre-REACH BUILDING
1450 Nakina Drive
Thunder Bay, Ontario
P7B 0E5
Fax: (807) 473-3706

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

Health Sciences and Community Services

• Aboriginal Community Advocacy
• Dental Assisting - Level I and II (*hb Mandatory)
• Dental Hygiene (*hb Mandatory)
• Developmental Services Worker (*hb)
• Early Childhood Education
• Educational Support
• Medical Laboratory Assistant (*hb Mandatory)
• Medical Radiation Technology (*hb Mandatory)
• Paramedic (*hb Mandatory)
• Personal Support Worker (*hb Mandatory)
• Practical Nursing (*hb Mandatory)
• Recreation Therapy - year 2
• Social Service Worker - year 2
• Social Service Worker

Distance Education Programs:

• Autism & Behavioural Sciences

Programs that require Chicken Pox Status:

• Practical Nursing (*hb Mandatory)
• Personal Support Worker (*hb Mandatory)
• Paramedic (*hb-Mandatory)

(*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.