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DR. HOWARD SEIDEN
& ASSOCIATES
PANEL PHYSICIANS


145 Front Street East
Toronto, Ont M5A 1E3
Phone: 416-362-5603
Toll Free: 866-362-5603
Panel.Medicals@seidenhealth.com

 

Dr. Howard Seiden & Associates
Panel Physicians
Immunization Requirements: Age 18 to 64

Immunization Requirements:
Ages 18 to 64 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 you had chickenpox. However the Panel Physician CANNOT accept a verbal declaration for the other immunization requirements.


Combination Vaccine for:

  • Tetanus Diphtheria (Td)
  • Tetanus Diphtheria Pertussis
An initial series of three immunizations, which are normally received in childhood at ages 2, 4 and 6 months and a booster immunization within the last 10 years must be documented.

or

If you have no proof of a primary series you must begin an adult series of TWO doses of Td 4 to 8 weeks apart with a third dose 6 to 12 months after the second. You must be as up-to-date as possible with your series at the time of your immigration medical.

or

You must have proof of a Td booster within the 4 weeks prior to your immigration medical.

or

An antibody titers blood test showing proof of immunity to tetanus and diphtheria.

MMR Combination Vaccine for:

  • Mumps
  • Measles
  • German Measles (Rubella)
If you were born after 1956 you must show proof of immunization for mumps, measles and German measles

or

An antibody titers blood test showing proof of immunity to MMR (mumps/measles/rubella).

or

You must receive an immunization for MMR
.

Chickenpox (Varicella) A verbal declaration of chickenpox.

or

Proof of immunization against chickenpox. Normally two immunizations 4 to 8 weeks apart or the first of the two within the 4 weeks prior to your immigration medical examination.

or

An antibody titers blood test showing proof of immunity to chickenpox (varicella).

Hepatitis B For ages 18 and under.
Influenza Influenza as of Nov 1, 2003. Age 50 and above.
Meningococcal (Menjugate) Required for children age 11 to 18 years.

Pregnant women cannot receive MMR or Chickenpox immunization, but they can receive other vaccines like Td. Pregnant or breastfeeding women or women intending to become pregnant should consult their own doctors prior to attending their Immigrant Visa Medical to review the medically acceptable contraindications for immunization. We cannot exempt people from immunization unless there is a valid contraindication. You do have the option of proving immunity with the appropriate antibody titer blood test. Additional information may be found at various Web Sites. Please discuss this with your personal physician.

Written records of immunization can be obtained from your family physician, or local public health department. 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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