HCP Forms | The Windsor-Essex County Health Unit

CONTACT US

Zoonotic Diseases Reporting Form

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

Read more about Zoonotic Diseases Reporting Form

Bicillin LA STI Medication Order Form

Read more about Bicillin LA STI Medication Order Form

STI Medication Order Form

Revised February, 2025.

Read more about STI Medication Order Form

Hepatitis B HCP Reporting Form

Read more about Hepatitis B HCP Reporting Form

Rabies Investigation Form - FOR HOSPITAL USE ONLY

Updated February 14, 2025.

Read more about Rabies Investigation Form - FOR HOSPITAL USE ONLY

Vaccine Order Form

Read more about Vaccine Order Form

MPox (Monkeypox) Reporting Form

This form is to be used to report MPox (Monkeypox) in the community.

Updated March 21, 2025

Read more about MPox (Monkeypox) Reporting Form

Gonorrhea and Chlamydia Co-Infection HCP Reporting Form

Updated March, 2025

Read more about Gonorrhea and Chlamydia Co-Infection HCP Reporting Form

Enteric/Food-Borne Diseases Reporting Form

Read more about Enteric/Food-Borne Diseases Reporting Form

Vaccine Return Form

Read more about Vaccine Return Form

Give us feedback!

Print