Initial Notification of Increase in Illness Form

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Please complete the form to the best of your ability.

If you are submitting this form after hours (16:30 to 08:30), please note that you will receive a callback within the next business day.

The information collected in this form will not be used to report publicly about a possible outbreak in your setting. Only confirmed outbreaks are publicly reported.

Do not share any personal health information; this includes names, dates of birth, test results, and health card numbers.

If you are experiencing difficulty completing or submitting this form, kindly contact OPH at 613-580-6744, ext. 26325, Monday to Friday 8:30 to 4:30.