Instructions

To tell us about an unlisted facility, call us at 519-575-4400 or complete the form.To file a complaint about a listed facility use the “File a Complaint” tab.

To file a complaint about a regulated health care professional or health care setting, please go to the Infection Prevention and Control Lapse site: https://www.regionofwaterloo.ca/en/health-and-wellness/IPAC.aspx

All information provided is confidential

Your personal information will be not shared with the facility owner, management, or staff. 

To help us investigate, please include as much information as you can provide, including:

  • Name of Business
  • Address of Business
  • Business type
  • Email address or phone number
  • Website link

By using this form you acknowledge and understand:

  • You are agreeing to be contacted by email.
  • Sharing of personal and/or personal health information via email should be kept to a minimum.
  • Any personal and/or personal health information that you provide to us via email will only be used to respond to your message, and/or provide you with the requested information.
  • While steps are taken to protect the privacy and security of emails, sending and receiving emails over the internet is not secure.  We cannot guarantee the security of messages sent or received through the internet, outside of our own secured network. 
  • You may withdraw your consent to the use of email at any time by contacting us.
  • Do not use email for emergency or urgent matters, contact 519-575-4400.