Immunization of School Pupils Act - Primary Care Advisory

Primary Care Advisory - ISPA

Public Health has begun its annual enforcement of the Immunization of School Pupils Act (ISPA) for the 2025–2026 school year. Suspension timelines for students, new EMR search tools, and reporting reminders are now active. Health care providers are asked to continue supporting vaccination, documentation, and parent guidance.

Key Updates

ISPA enforcement begins for all students JK–12.
Suspensions: Secondary (Apr 9, 2026) and Elementary (May 7, 2026).
Request for Vaccination Record notices issued to 4,385 secondary students; elementary notices begin Jan 26, 2026.
Students with incomplete records six weeks before suspension receive a Suspension Order.

Identifying Patients Requiring ISPA Vaccines

New EMR search tools, created with Amplify Care, help identify patients aged 0–18 missing ISPA-required vaccines.
Tools and user guides available at: Amplify Care – EMR Tools
Support: EMRTools@amplifycare.com

Health Care Provider Actions

Continue providing ISPA-required vaccines, records, and exemptions.
Provide patients/parents with a copy of vaccination records and instruct them to report through regionofwaterloo.ca/vaccines.
Refer to the linked ISPA Key Facts resource for more information.