BEFORE PROCEEDING PLEASE READ AND ACKNOWLEDGE BELOW THE FOLLOWING:
If a sick participant (or their parent/guardian if the participant is a minor) elects to inform a team/hockey association/Member that they have been diagnosed with COVID-19, the individual informed shall seek the sick participant/their parent’s/guardian’s consent to contact public health authorities in order to obtain advice on communication with other potentially impacted participants. The sick participant (or their parent/guardian if the participant is a minor) should be asked to advise Public Health of this consent. Explain the communication that will take place and NEVER disclose the sick person’s name.
When completing this Incident Report specifics regarding the individual(s) involved are NOT to be reported for privacy reasons. The only information required will be to verify that reporting protocols have been followed and that any direction received from PHU(s) has been completed.
COMPLETE THIS FORM ONLY IF DELIVERY OF YOUR PROGRAMMING, IN PART OR FULL, HAS BEEN IMPACTED