Infectious Diseases Secure File Upload Form

Please use the following form to upload documents requested by a member of the Infectious Diseases team related to Diseases of Public Health Significance and/or Outbreak Management.

Forms submitted after 3:00 p.m. will be processed on the next business day.

Please ensure the file name does not include special characters, for example:’ (),./<> etc. and does not exceed 20 characters in length before submitting.

Please note required fields are marked with an * Asterisk.

* Submitter Name

* Facility Name

* Submitter Phone Number

e.g. 705-721-7520

Submitter Email

* Description of submission documents

e.g. Line list, Lab, Floor plan, Checklist, etc.

Comments

Please ensure the file name does not include special characters, for example:’ (),./<> etc. and does not exceed 20 characters in length before submitting.

Please attach file(s) here

e.g. jpg, jpeg, png, pdf, doc, docx, xls, xlsx

Please feel free to contact the Infectious Disease department if you have any questions 705-721-7520 ext. 8809.

This information is collected under Section 5 of the Health Protection and Promotion Act, R.S.O. 1990, c. H. 7. The personal health information collected will be used only for investigation of diseases of public health significance and/or outbreak management and to provide statistical data to the Ontario Ministry of Health. Questions regarding the collection and use of personal health information should be directed to the Privacy Officer, Simcoe Muskoka District Health Unit, 15 Sperling Drive, Barrie ON L4M 6K9, telephone (705) 721-7520.