This policy outlines how we protect the privacy
of your personal information and medical record. Everyone working
for this office is required to adhere to the protections described
in this policy. If you have any questions regarding our privacy
practices, please contact your doctor or one of our staff.
Collection,
Use and Disclosure of Personal Information What
personal information do we collect?
We collect the following personal information:
---Identification and Contact information (name, address, date of
birth, emergency contact, etc);
---Billing information (provincial plan and/or private insurer);
---Health information (symptoms, diagnosis, medical history, test
results, reports and treatment, record of allergies, prescriptions,
etc). When
and to whom do we disclose personal information?
Implied consent for provision of care: By virtue of seeking care from
us, your consent is implied (i.e., assumed) for your information to
be used by this office to provide you with care, and to share with
other providers involved in your care. Disclosure
to other health care providers:
Relevant health information is shared with other providers involved
in your care, including (but not limited to) other physicians and
specialists, pharmacists, lab technicians, nutritionists, physiotherapists,
occupational therapists. Disclosures
authorized by law:
There are limited situations where we are legally required to disclose
your personal information without your consent. These situations include
(but are not limited to) billing provincial health plans, reporting
infectious diseases and fitness to drive, or by court order.
Disclosures
to all other parties:
Your express consent is required before we will disclose your information
to third parties for any purpose other than to provide you with care
or unless we are authorized to do so by law. Examples of disclosures
to other parties requiring your express consent include (but are not
limited to) third party medical examinations, provision of charts
or chart summaries to insurance companies, enrollment in research
studies and trials. Can
you withdraw consent?
You can withdraw your consent to have your information shared other
health care providers or other parties at any time, except where the
disclosure is authorized by law. However, please discuss this with
your physician first.
Patient
Rights How
do you access the personal information held by this office?
You have the right to access your record in a timely manner. If you
request a copy of your record, one will be provided to you at a reasonable
cost. If you wish to view the original record, one of our staff must
be present to maintain the integrity of the record, and a reasonable
fee may be charged for this access. Patient requests for access to
the medical record can be made in writing, directed to the physician,
directed to any office staff. Limitations
on access
In extremely limited circumstances you may be denied access to your
records, but only if providing access would create a significant risk
to you or to another person. What
if you feel your record is not accurate?
We make every effort to ensure that all of your information is recorded
accurately. If an inaccuracy is identified, you can request that a
note be made to reflect this on your file.
Office
Safeguards
What is our
communications policy?
We protect personal information regardless of the format. Specific
procedures are in place for communicating by phone, email, fax, and
post/courier. How
long do we keep information?
We retain patient records as required by law and professional regulations.
How do we dispose
of information when it is no longer required?
When information is no longer required, it is destroyed in a secure
manner, according to set procedures that govern the storage and destruction
of personal information. Complaints
process
If you believe that this office has not replied to your access request
or has not handled your personal information in a reasonable manner,
please address your concerns first with your doctor.
You may also choose to make a complaint to the provincial/territorial
college; the provincial/territorial privacy commissioner.
This
policy was created with the help of the CMA PRIVACYWIZARD™.
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