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Yellow Fever Vaccination Centres - Notification of Changes and Attestation Form

Complete this form to notify the Public Health Agency of Canada of any changes to a designated Yellow Fever Vaccination Centre (YFVC) site’s name, address, phone number, email address, website address, or Nominated Health Care Practitioner (NHCP). All changes must have an Attestation signed by the NHCP confirming that the health care site meets the requirements to be designated as a YFVC.