Influenza Vaccine Usage Reporting Forms for Residential Care Facilities

For use by Residential Care facilities only.

Reporting Due Date

Reporting forms from all care facilities are due by January 12, 2018.

All forms below are provided as PDFs.

South Island

Greater Victoria, Sooke, Saanich, Outer Gulf Islands

Central Island

Duncan, Lake Cowichan, Nanaimo, Parksville, Qualicum Beach, Port Alberni, and Tofino

North Island

Alert Bay, Campbell River, Comox Valley, Gold River, Hornby Island, Port Hardy, Port McNeill, Quadra Island and Woss


Page updated: September 13, 2017