“The personal information being collected on this form is collected under the authority of the Health Protection and Promotion Act, the Municipal
Freedom of Information and Protection of Privacy Act & Personal Information Protection & Electronic Documents Act. This information shall be used to
ensure necessary health care measures are attained.” Questions covering the collection of this information may be directed to One Kids Place, 400
McKeown Ave., North Bay, Ontario, P1B 0B2 Phone (705) 476-5437.
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