Statement of Information Practices
Collection of Personal Health Information
Providence Care collects personal health information about you or from the person referring you on your behalf. Personal Health Information that we collect may include, but is not limited to, name, date of birth, address, health card number, history of health, recording of visits and care received during your visit. We may also be required to collect information with your consent to do so or if law permits.
Providence Care is committed to protecting the privacy, confidentiality and security of all personal health information in compliance with the Personal Health Information Protection Act (PHIPA).
Use and Disclosures of Personal Health Information
Providence Care uses and discloses your personal health information to:
• Treat and care for you;
• Obtain payment for your treatment and care (from OHIP, WSIB, your private insurer, or others);
• Plan, administer and manage our internal operations;
• Conduct risk management activities;
• Conduct quality improvement activities (such as satisfaction surveys);
• Compile statistics, and teach and conduct research;
• Fundraise to improve our healthcare services and programs;
• Comply with legal and regulatory requirements; and
• Fulfill other purposes permitted or required by law.
Providence Care ensures that everyone who performs services for us protects your privacy and uses your personal health information only for the purposes you have consented to (subject to legal exceptions).
You have a right to access your personal health information through the Privacy Officer.
If you wish to access or receive copies of your medical record, please click on Personal health information (PHI) Access Request.
You have the right to request correction to your personal health records, or withdraw your consent for some of the above uses and disclosures, or authorize the release of your records using the following forms:
Request for Change in the Record of Personal Health Information
Request to Disclose Personal Health Information
For more information about our privacy practices, or to raise a concern you have with our practices, please contact the Privacy Officer at:Providence Care
340 Union Street
Kingston, ON K7L 5A2
Telephone: 613-548-7222, Ext. 2373
You have the right to complain to the Information and Privacy Commissioner of Ontario if you think we have violated your rights. The Commissioner can be reached at:
Information and Privacy Commissioner of Ontario
2 Bloor Street East, Suite 1400
Toronto, ON M4W 1A8
Long Distance 1-800-387-0073 (within Ontario)