Patients and visitors are to wear a mask while receiving care, and in high-risk areas such as all inpatient units, Emergency Department, waiting areas and outpatient services. MAHC team members are wearing masks when interacting directly with patients. Please put on a mask from the supply provided and wear it properly covering your nose and mouth.

Required fields are marked with asterisks (*)

Request Form for Documents in Alternate Formats

Personal information on this form is being collected under the authority of section 12 of the Integrated Accessibility Standards, Ontario Regulation 191/11 under the Accessibility for Ontarians with Disabilities Act, 2005, and will be used to provide accessible formats and communication supports upon request.

Personal Information

Name

Address

Phone Number

Email Address

Document Information

Provide the name of the document you would like in an alternate format

Which format would you prefer?

Large Print

Audio

Electronic (Microsoft Word or PDF)

Sign Language

Other

This website uses cookies to enhance usability and provide you with a more personal experience. By using this website, you agree to our use of cookies as explained in our Privacy Policy.