The information requested on this form is collected for the purpose of notifying WRH Employee Health of your COVID-19 vaccination status and will be kept private and confidential.
Learn how to download a PDF copy of your vaccine receipt here.
Questions or issues submitting this form? Please email VaccinePolicy@wrh.on.ca
1995 Lens Avenue, Windsor, ON N8W 1L9
1030 Ouellette Avenue, Windsor, ON N9A 1E1