This form is intended for requesting information and/or communication supports in an alternate format. Once we receive the below information from you, we will reach out to discuss and confirm your accessibility needs and provide the requested alternative format(s) in a timely manner at no additional cost. Tell us about your request What information do you need in an alternative format? What format 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 privacy@wdgpublichealth.ca. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
