WDG Public Health is committed to meeting the communication needs of people with disabilities. When asked information and communication materials will be provided in accessible formats or with communication supports. This includes publicly available information about Agency goods, services and facilities, as well as publicly available emergency and safety information. WDGPH will consult with people with disabilities to determine their information and communication needs. Tell us about your request What information do you require? Is there a format for this information that would best meet your needs? Contact information Please provide your contact information so we can discuss your request. Name Telephone number Email 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.