The Ministry of Health and Long-Term Care and the Office of the Privacy Commissioner stipulate that all Family Health Teams must be in compliance with Provincial Privacy Legislation, specifically Bill 31: The Personal Health Information Protection Act (PHIPA), which came into effect on November 1, 2004. This is The Centre for Medicine, Family Health Team’s (CFFM) Privacy Statement.

 

The Physicians and Staff at The Centre for Family Medicine are bound by law and ethics to safeguard your privacy and the confidentiality of your personal information.

We collect, use and disclose your personal health information to:

— ♦ treat and care for you;

— ♦ get payment for your treatment and care (from OHIP, WSIB, your private insurer or others);

— ♦ plan, administer and manage our internal operations;

— ♦ conduct risk management and quality improvement activities;

— ♦ teach;

— ♦ conduct research;

— ♦ compile statistics;

— ♦ comply with legal and regulatory requirements and

— ♦ fulfill other purposes permitted or required by law.

Your request for care implies consent for our collection, use and disclosure of your personal information for purposes related to your care as noted above. All other purposes would require your express consent.

You have the right at any time to withhold or withdraw your consent to disclose personal health information. You will be required to sign the appropriate form which will be forwarded to the Privacy Officer.

Jacqueline Montgomery, Privacy Officer
The Centre for Family Medicine
25 Joseph Street
Kitchener, Ontario N2G 4X6
519-578-2100 x 256
519-578-2109 (fax)