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COVID-19 Vaccine Education

Vaccine Education VideoYou must complete this COVID-19 educational program because you have not been vaccinated against COVID-19 or presented a medical note stating the reason you are unable to vaccinate.

Failure to complete this educational program will result in disciplinary action up to and including termination/end of affiliation with Acclaim Health.

Please watch the video and complete the form below to ensure your documentation is received.

Watch the video   Complete the Form

If interested, you can book a vaccine appointment with your local region:

Hamilton    Halton     Peel

Vaccine Education Completion Form

Please fill out this form after you have completed the online vaccine education program.

Name(Required)
(True or False) Steps were skipped in the development and approval of the COVID-19 vaccine in order to make it available sooner(Required)
(True or False) mRNA vaccines can change your DNA(Required)
(True or False) You can get the vaccine if you have allergies(Required)
I would like to speak with an Acclaim Health staff member about getting vaccinated(Required)
Vaccine Education Completion(Required)
Permission to Submit(Required)
Acclaim Health is committed to individual privacy and has taken reasonable precautions to ensure the security of the information you are submitting through this online form. By clicking "I agree" you are acknowledging and accepting the potential risks inherent in submitting personal information and/or personal health information online. Please contact us by telephone at 905-827-8800 if you do not wish to submit this information online and we will be happy to assist you.

Contact us to learn more.
905-827-8800 or 1-800-387-7127

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