Condom Ordering Form

Only agencies can order condoms from the City of Hamilton. Do not include any personal information in your message.

Notice of Collection

The City of Hamilton collects information under authority of Section 5 of the Health Protection and Promotion Act, R.S.O. 1990, c. H.7. Any information collected for condom ordering services will be used to assess eligibility to receive condoms and inform our understanding of ordering trends in the community. By providing your email address and/or phone number, you are consenting to receiving emails and/or phone calls from the City of Hamilton. Information collected for this initiative is stored on servers in Canada and is be subject to Canadian law.

Questions about the collection of this information can be directed to the Infectious Disease Manager, Communicable Disease Division, Healthy and Safe Communities, 110 King St West 3rd floor, Hamilton, Call 905-546-2424 ext. 3787 or email [email protected]

Risks of Using Electronic Communication Notice
The City of Hamilton will use reasonable means to protect the security and confidentiality of information sent and received using electronic communication. However, due to risks such as accidental disclosure or interception by parties not intended to receive the information, we cannot guarantee the security and confidentiality of electronic communication and will not be liable for the improper disclosure of confidential information that is not the direct result of intentional misconduct of the City and/or its staff.

Note: If you choose to ask your questions or raise concerns over email, please do not include any personal information or personal health information in your message as email entails an element of risk. You have been advised of the risks and have consented to receiving information in this manner. If at any time, you wish to cease communicating by electronic means, please contact the sender.