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The Personal Information on this Southwestern Public Health Prenatal Class Registration Form is collected under the authority of the Health Protection and Promotion Act applicable privacy legislation. This information will be used for delivery of public health programs and services, to mail or email a letter of confirmation of registration, to assess the need for additional prenatal support, and may be used for evaluation or statistical/research purposes. Any questions about the collection of this information should be directed to: Privacy Officer, Southwestern Public Health, 1230 Talbot Street, St. Thomas, ON N5P 1G9; Phone: 1-800-922-0096