Your feedback * If you would like us to contact you, please fill in this information. Name Email Telephone Other The information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and the Accessibility for Ontarians with Disabilities Act (AODA). This information will be used for the delivery of public health programs and services; the administration of the agency, in compliance with legal and regulatory requirements. Any questions about the collection of this information should be addressed to the Privacy Officer at 1-800-265-7293 ext. 2975 or email@example.com.