HCP Forms
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Vaccine Order Form
MPox (Monkeypox) Reporting Form
This form is to be used to report MPox (Monkeypox) in the community.
Gonorrhea and Chlamydia Co-Infection HCP Reporting Form
Enteric/Food-Borne Diseases Reporting Form
Vaccine Return Form
COVID-19 Investigation and Reporting Form
West Nile Virus Case Investigation Tool
The Health Protection and Promotion Act 1990 (HPPA) outlines the requirements for physicians, practitioners, and institutions to report any suspect or confirmed reportable disease to the Medical Officer of Health. This information is collected under Regulation 569, 2005. Please complete this form and fax to the Windsor-Essex County Health Unit, Fax: 226 783-2132. If you have any questions or concerns, call 519-258-2146, ext.1420.
Rubella Health Care Provider Investigation and Reporting Form
If rubella is suspected or diagnosed, completion of this form is required and faxed by the next working day from the initial patient visit, to the Windsor-Essex County Health Unit (fax: 226-783-2132.