Required fields are marked with asterisks (*)

ROW Public Health LogoReporting Form for Symptomatic Staff / Children

This form is only for reporting symptomatic children/staff at childcare centres / before/after care / EarlyON / day camps. Please fill out the fields below and someone in Public Health will follow up with the symptomatic person or guardian of symptomatic person/child.

Childcare and Camp operators please note that you are only required to report symptomatic staff/children to Public Health if any of the following apply:

  • Close contact with a COVID-19 case

  • Travel outside of Canada within 14 days prior to symptom onset

  • Been told by a doctor, health care provider, or public health unit to self-isolate