HCP Forms | The Windsor-Essex County Health Unit

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Imvamune Mpox Vaccine Order Form

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All other DOPHS (Generic) Reporting Form

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Novel, Non-Seasonal Influenza (including avian influenza) Reporting Form

Download the Novel, Non-Seasonal Influenza (including avian influenza) health care provider reporting form.

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iGAS Clinical Severity Assessment Reporting Form

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Reporting Form - General Hospital

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Zoonotic Diseases Reporting Form

If you have questions regarding this form please call 519-258-2146 ext. 4475.

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Bicillin LA STI Medication Order Form

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STI Medication Order Form

Revised February, 2025.

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Hepatitis B HCP Reporting Form

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Rabies Investigation Form - FOR HOSPITAL USE ONLY

Updated February 14, 2025.

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