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Freedom of Information Request

A $5.00 application fee is required for each request.

Payment may be made by mail or in person at Muskoka Algonquin Healthcare, 100 Frank Miller Drive, Huntsville, Ontario P1H 1H7. Make your cheque or money order payable to Muskoka Algonquin Healthcare.


Part 1

This request is for:
 

Part 2 - Requester's Information

Note: If you want a correction of personal information, please describe the correction you want and attach any supporting documents you may have. You will be told if the correction is not made and you may attach a statement of disagreement to your personal information.

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Preferred method of access to records:
 
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Personal information contained on this form is collected pursuant to the Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request.

Questions about this collection should be directed to the attention of the Privacy Officer at:
 
Muskoka Algonquin Healthcare
100 Frank Miller Drive, Huntsville, ON  P1H 1H7
705-789-2311 ext. 3398


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