This form is for reporting suspect or confirmed cases of COVID-19 and other respiratory illnesses in high-risk settings, including long-term care homes, retirement homes, congregate living settings and shelters. Once submitted, the Region of Waterloo Public Health will follow up based on the level of priority. To report lab confirmed influenza call 519-575-4400 for the Service First Call Centre.
Submit this form daily BEFORE 1 p.m., even if waiting for further information or test results. This will ensure timely assessment and follow-up. Information received by the facility after 1 p.m. can be submitted to Public Health the following day.
Surveillance and Reporting
Isolation and Additional Practices
Testing
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