Follow the steps to accurately complete the Canada Ottawa Public Health Reporting Form online.

1. Press the ‘Get Form’ button to access the reporting form and open it for editing.
2. Provide the name of the reporting agency in the designated field.
3. Enter the telephone number of the reporting agency.
4. In the ‘Name of person reporting’ field, print the name of the individual completing the report.
5. Fill out the patient information section, including the Ontario health card number, last name, first name, date of birth, age, gender, address, city, postal code, home telephone number, alternative telephone number, and occupation.
6. If applicable, indicate the name of the school or child care center.
7. In the disease information section, specify the disease and specimen type, and provide the onset date and specimen collection date.
8. If related to sexually transmitted infections, enter the STI lab specimen number.
9. Complete the treatment history section, including treatment details and treatment date. If no treatment information is available, select that option.
10. Indicate whether the patient was hospitalized by selecting ‘Yes’ or ‘No’. Provide additional details if 'Yes' is selected, such as admission date, name of the hospital, and discharge date.
11. Fill out the physician information section, including the physician’s name, specialty, address, city, postal code, and telephone number.
12. Enter the date of notification.
13. The individual filling out the form should sign and print their name as required.
14. Review the completed form for accuracy, then save any changes you made and consider downloading, printing, or sharing the form as necessary.

Take the first step in ensuring public health safety by completing the Canada Ottawa Public Health Reporting Form online.