COVID-19 Close Contact Tool
Are you identifying close contacts for a child/youth (under 18 years of age)?
Your personal and health information (including your Personal Health Number) on this form is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act (“FOIP”) and sections 20(b), 21(1)(a), and 27(1) and (2) of the Health Information Act (“HIA”), respectively. The information will be used or disclosed by AHS as authorized by the HIA and FOIP, for the purposes of providing or determining your eligibility for health services, planning, resource allocation, management of the health system and administration of human resources; and activities related to AHS’ mandate to protect and promote public health. For questions about the disclosure of your information please contact the Disclosure Help Line at 1.855.312.2265 or by email disclosure@ahs.ca. For health related questions or if you have difficulty completing the form you can call Health Link at 811.