1. Frequently Asked Questions
  2. COVID-19 Vaccine Appointment Registration Form

Carleton’s Health and Counselling Services (HCS) is now able to book appointments for first and second-dose mRNA (Pfizer) vaccines for eligible people ages 12 or older. To facilitate the administration of these vaccines, members of the Carleton community are asked to book an appointment for one of the available dates and times.

To book an appointment, you must be:

  • aged 12 or older at the time of injection
  • a Carleton employee, student or approved contractor
  • eligible for the first vaccine dose
  • eligible for the second vaccine dose (28 days after your first dose of an mRNA vaccine and/or 8 weeks after your first dose AstraZeneca vaccine).

Please note that you can book your second dose appointment at HCS even if your first dose was administered elsewhere. If you would prefer to receive a Moderna mRNA vaccine, you can make this request when booking your appointment.

After booking your appointment online, you will receive a confirmation email for the date and time of your vaccine. Please review and complete the documents and forms listed on the main Health and Counselling Services website prior to coming in for your appointment.

Frequently Asked Questions

COVID-19 Vaccine Appointment Registration Form

Vaccination appointments are available at Health and Counselling Services Tuesdays, Wednesdays and Thursdays until September 9 and on Thursdays until October 7, 2021.

You can also book a COVID-19 vaccine appointment through one of Ottawa Public Health’s drop-in clinics.

Please Note: It is important that you only register in one timeslot for your vaccine appointment. If you have accidentally booked a vaccine appointment on multiple days/times, please call Health and Counseling Services (613-520-6674) to cancel your appointment. This is to ensure that the spot can be reopened to another individual.

Privacy Statement

Personal information, including personal health information, collected through this form will be used and disclosed by Carleton University in accordance with Part III of the Freedom of Information and Protection of Privacy Act, and Part IV of the Personal Health Information Protection Act. Our authority to collect your personal information is derived from the following legislation;

  • Carleton University Act;
  • Health Protection and Promotion Act;
  • Occupational Health and Safety Act; and,
  • Reopening Ontario Act.

The purpose of this processing is;

  1. To register you for a COVID-19 vaccination appointment at Health and Counselling Services.
  2. To create and/or update your patient health record at Health and Counselling Services.

The information is stored on servers maintained by Carleton University ITS. Your personal information is protected through a variety of controls, such as card access to servers, multi-factor authentication, and enforcement of data protection policies.

If you have any questions about the processing of personal information, please contact the Manager, Privacy & Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca