Current Page 1 Preview This form is to notify Health PEI Communications of any delayed openings, early closures, or other changes in hours due to a storm or severe weather. The information on this form is used to create news releases and to update information on the Health PEI Storm Centre web page.Fields marked with an asterisk* are mandatory.If you have any questions about this form, contact healthpeiweb@ihis.org. Identification Fill in the fields below as the person submitting the form. This information will not be published. Contact's First Name Contact's Last Name Contact's Telephone Number For example 902-555-5555. Contact's Email Address Impacted Health Service Information Name of impacted health service Spell out the name in full. Do not use acronyms. If different services are impacted, please fill out a separate form for each service. Location(s) impacted List the street addresses including the city or town of all locations impacted. You may say “All locations in PEI” but do not say all locations in a county as not all residents will know which county their service is in. Separate multiple addresses with a semi-colon. Date of closure Time of closure Time A.M./P.M. Date of reopening If unknown leave blank. Time of reopening If unknown leave blank. Time A.M./P.M. Closure Details Please use one of the following in this format:Delayed opening until TIME A.M. or P.M. (optional: with a further announcement at TIME A.M. or P.M.)Closing at TIME A.M. or P.M. (optional: with a further announcement at TIME A.M. or P.M.)Closed all day (optional: with a further announcement at DATE, TIME A.M. or P.M.)Other (provide details below) Provide any other critical information the public needs to know, if applicable. For example: “Please call to reschedule your appointment,” or “We will reschedule all appointments.” Telephone number to call for more information For example 902-555-5555. This number will be public. Acceptance I confirm that I have notified my director of this submission. CAPTCHA