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365 Bloor Street East
Suite 1400
Toronto, Ont M4W 3L4
Phone: 416-362-5603
Toll Free: 866-362-5603
Fax: 416-362-8925


Dr. Howard Seiden & Associates
Panel Physicians
Immunization Requirements: Age 4 to 6

Immunization Requirements:
Ages 4 to 6 years

Documented written proof of immunization is required in order to fulfill the requirements of the U.S. Immigration and Nationality Act. These are the immunizations required even though they may not correspond to what your doctor or public health department feel are necessary. The Panel Physician has no authority to recommend an exemption from the required immunizations unless there is proof of a valid medical contraindication signed by your doctor. The Panel Physician will accept a verbal declaration that your child had chickenpox. However the Panel Physician CANNOT accept a verbal declaration for the other immunization requirements.

Hepatitis B Normally three injections. Dosing schedules may vary depending on brand of vaccine and health status of child. Hepatitis B Vaccination. A partial series is acceptable so long as the next injection in the series is not due at the time of the immigration medical.


Proof of vaccination not required when there is proof of immunity using an antibody titers blood test.

Combination vaccine for:

  • Diphtheria
  • Tetanus
  • Polio
  • Pertussis
  • Hib
Proof of the first three vaccinations normally given at 2, 4 and 6 months of age and the 18 month booster and the age 4 to 6 year old booster.


That your child is as far along with the recommended series as possible at the time of the immigration medical.

MMR Combination Vaccine for:

  • Mumps
  • Measles
  • German Measles (Rubella)
Age 12 months or older with a reinforcing booster usually given between age 4 to 6 years. If no history of a primary immunization, must have had a MMR within one month of the immigration medical.
Chickenpox (Varicella) Immunization required if the child is over the age of 1 and has not had chickenpox.


A verbal declaration that the child has had chickenpox infection.
Pneumococcal/conjugate Vaccine (Prevnar) Required for children age 2 to 59 months.
Influenza Required for everyone over 6 months of age.

Written records of immunization can be obtained from your family physician, local public health department or your child’s school. Some but not all the required immunizations may be obtainable without cost from your family physician or local public health department. We recommend that you review the requirements with your family physician and that you obtain any necessary immunization prior to your appointment for the Immigration Medical.

Links to U.S. and Canadian Immunization Information Sites



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