Access or Correction Request Form

MFIPPA and PHIPA

The personal information on this form is being collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request. Any questions about the collection of this information should be directed to the Manager, CQI and Central Resources at the Kingston, Frontenac and Lennox & Addington Public Health, 221 Portsmouth Avenue, Kingston, Ontario,
613-549-1232, or 1-800-267-7875, ext. 1262

Request details.

If you are requesting to correct a record, please indicate the specific changes you would like made, and attach any necessary supporting documents using the file upload option below. You will be told if the correction will not be made so that you may attach a statement of disagreement to the record.