Contact Us
To order forms from the Health Unit, please contact us.
healthcareproviders@mlhu.on.ca
519-663-5317
The Middlesex-London Health Unit offers a variety of forms in an effort to simplify connections between the Health Unit and local healthcare providers. Please find the forms below.
To order forms from the Health Unit, please contact us.
healthcareproviders@mlhu.on.ca
519-663-5317
Child Development/Parenting/Prenatal Health/Post-partum
*Please save the PDF to your computer before filling out the form.
Intimate Partner Violence
Environmental Health
Immunization
Infectious Diseases
Substance Use
Immunization
All healthcare providers who order vaccines must use the online Public Health Ordering System (PHOS). To register for PHOS, please have your organization's primary contact complete the online registration form. Orders placed via fax or email are no longer being processed.
Infectious Diseases
Immunization