Publications du ministère de la Santé et des Services sociaux
Refusal Form or Cancellation of refusal - Québec Vaccination Registry
Form
Description
The vaccines that you have received or will receive are recorded in the registry. Once the vaccine has been administered, you cannot refuse to have it recorded in the registry.
You may refuse, at any time, to have a centre intégré de santé et de services sociaux (CISSS and CIUSSS) send you:
- Promotional material on vaccinations
- Reminders of vaccines that you should receive to protect you
Your refusal can be permanent or temporary. You can modify your decision at any time.
You are about to download the English version of this publication. Please note that this is aimed for those covered by one of the exceptions 
under the Charter of the French language.
Download this document
(PDF, 577 Ko, 1 page)
This publication is available only in an electronic version.
This publication is available in French.
Details
Online since: June 12, 2014
Last modification: July 11, 2023
Author: MSSS
Publication no : 23-278-11WA
For more information
See the Québec Vaccination Registry page for further details.