York Region Public Health is contacting you because you may have been exposed to a case of measles. A contact of measles is anyone who was in the same place as a person who is infectious with measles for any length of time, including two hours after the person left the area (e.g., home, school, day care, school bus, doctor’s office, emergency room, etc.)
The information you provide in this form is voluntary and your response will remain confidential. All information will only be used for contact tracing purposes. You may choose to leave the form at any time, however, we will not be able to remove your responses once you have clicked submit. Your progress may be saved if you choose to return. Your decision to participate will not affect the services you receive from York Region Public Health.
This form will take approximately 10 minutes to complete.
If you have any questions or concerns about this form, please contact our Control of Infectious Disease team, at [email protected] or 1-877-464-9675 ext. 73588. By submitting your response to the form, you are consenting to participating in contact tracing and the use of your response by York Region Public Health.
Notice of Collection
The personal information and personal health information is collected under the authority of section 7 of the Health Protection and Promotion Act. We maintain this information in accordance with applicable privacy legislation such as the Personal Health Information Protection Act, 2004 and the Municipal Freedom of Information and Protection of Privacy Act. The information collected will be used for contact tracing. Any questions regarding the collection, use, disclosure, and disposal of this information may be directed to the Control of Infectious Disease team, [email protected] or 1-877-464-9675 ext. 73588.
