This form is for reporting suspect or confirmed cases of gastrointestinal or respiratory illnesses in International Agrifood Worker Settings.
The following form can be used for:
Once submitted, you will receive an email confirmation. 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.
City of Cambridge
City of Kitchener
City of Waterloo
Township of North Dumfries
Township of Wellesley
Township of Wilmot
Township of Woolwich
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