Child Care Centre Outbreak Reporting Form

This form is for reporting suspect or confirmed cases of gastrointestional  illnesses in child-care settings. 

 The following form can be used for:

• Reporting symptomatic children who are suspect cases of gastrointestinal illnesses
• If you have multiple individuals to report, complete the Outbreak Activity Line List (OALL) and submit it through this web-reporting form.
• • If you do not already have a OALL, request one by emailing outbreak@regionofwaterloo.ca

Once submitted, you will receive an email confirmation. Region of Waterloo Public Health will follow up based on the level of priority. 

Submit this form daily BEFORE 1 p.m., even if waiting for further information. 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.