Reporting COVID-19 Cases for Health Care Settings and Congregate Living Sites

This reporting form must be completed when there is a confirmed case of COVID-19 connected to a health care setting or congregate living site. This includes:

  • Health care providers
  • EMS
  • Long-term care homes
  • Retirement homes
  • Home health care
  • Chiropractor
  • Registered massage therapist
  • Dentist
  • Shelters
  • Group homes
  • Correctional facilities
  • Children or youth residential settings

Information collected by this form will be used to support case management and contact tracing by Public Health.

* = Required

Site Information

Contact Information

Contact information of a health care professional in a health care setting or administration or support staff from a congregate living site who has information about the confirmed COVID-19 case being reported.

COVID-19 Case Information

+ Add another case

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Freedom of Information

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email our Access and Privacy Office or call 905-980-6000 ext. 3779.

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