Diseases of Public Health Significance (DOPHS) Reporting Form

A list of diseases of public health significance is provided below. Note: all diseases and outbreaks marked (including presumptive, suspected or confirmed) must be reported immediately to the Medical Officer of Health by telephone. All other diseases are to be reported by the next business day.
O. Reg. 135/18: Designation of Diseases under the Health Protection and Promotion Act, R.S.O. 1990, c.H.7

Reporting Facility/Health Care Provider

Patient Information

Personal information on this form is collected under the authority of the Health Protection and Promotion Act R.S.O. 1990, c. H.7., S.26; R.R.O. 1990, Reg. 569, S.1 (2), amended and in accordance with PHIPA and will be used for assessment, management, treatment and reporting purposes. Questions about this collection should be addressed to the Privacy Officer at Hastings Prince Edward Public Health.