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Test Requisition Forms

The test information sheets provide specific instructions on what requisition to use.



Environmental Microbiology:    






Suspicious Packages:


Public Health Ontario Notice of Collection

OAHPP collection of personal health information on this form is collected under the authority of the Personal Health Information Protection Act, s.36 (1)(c)(iii). These forms generally contain patient demographic and registration information (e.g. name, address, date of birth, health number), diagnosis, the provider's name and contact information, test requested and reason for testing.

If you have questions about the collection of this personal health information please contact:

Public Health Ontario Customer Service Centre
661 University Avenue, Suite 1701
Toronto, ON M5G 1M1
Phone: 416-235-6556
Toll free: 1-877-604-4567
Protecting Your Information: If you are using this online service, it is important to ensure that you do not leave the computer unattended while accessing the service. Before leaving the computer, it is also important that you fully exit the application, clear your browser's cache and close down your browser. This will ensure that no one else can access any personal health information you may have entered.
Uncontrolled print copy. Valid only on day of Print: [date]
Page updated on [date/time] 02/06/2016 1:33 PM
© , Ontario Agency for Health Protection and Promotion