Syphilis Clinician Referral Form A
Main Page Content
The Health Protection and Promotion Act 1990 (HPPA) outlines the requirements for physicians, practitioners, and institutions to report any suspect or confirmed reportable disease to the Medical Officer of Health. This information is collected under Regulation 569, 2005. Please complete this form and fax to the Windsor-Essex County Health Unit, Fax: 226 783-2132. If you have any questions or concerns, call 519-258-2146, ext.1420.
If rubella is suspected or diagnosed, completion of this form is required and faxed by the next working day from the initial patient visit, to the Windsor-Essex County Health Unit (fax: 226-783-2132.
- Health Quality Ontario's Clinical Guidance Document on Management of Tick Bites and Investigation of Early Localized Lyme Disease
- Public Health Ontario's Ontario Lyme Disease Map 2019 Estimated Risk Area