File a medical immunization exemption without retyping your child's details

A medical immunization exemption for school requires a health care provider's statement — and the form repeats your child's name, date of birth, and health details. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Vaccines for children at school — ontario.ca
• Form (Central Forms Repository): Statement of Medical Exemption — 010-3041

What this form is about

The statement of medical exemption documents that a student cannot receive one or more required immunizations for medical reasons, as confirmed by a qualified health care provider.

Before you start: what to gather

• Your child's full legal name and date of birth.
• Your Ontario health number (if applicable).
• The health care provider's statement about the medical reason.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your your child's name, date of birth, and health number in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.