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