*Provide your phone number with area code OR email:
Per Public Health, we are required to ask you for your first and last name and a phone number or an email address so that Public Health can easily and quickly get in touch with you in case you have come into close contact with a person who has contracted COVID-19. We will not use or sell your information and will only share it with Public Health if they ask us to, in which case we will take precautionary measures when transferring it to them. By providing your contact information, you understand it will be collected, used and disclosed as described above.