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Privacy and Access Policies & Forms

(also access General or HIS)

Policy #TitleRationaleDateSummaryLink
ORG.1411.PL.502.SD.02Access Disclosure Release of Personal Health Information Fee ScheduleTo revise for new WCB rate effective January 1, 2025.Feb 24, 2025
ORG.1411.SG.003Secondary Use of Personal Health InformationDec 16, 2024
ORG.1411.PL.508Disclosure of Information to Affiliated FoundationsDec 16, 2024
ORG.1411.SG.002Disclosure of Personal Health Information for Review by Health Care Professionals and or a Professional Regulatory BodyTo provide direction when a request is received by a Health Care Professional's legal counsel for the disclosure of personal health information.Oct 10, 2024
ORG.1411.PL.002.SD.01Request for Access Response Coordination Process Flow ChartPolicy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015Jul 8, 2024
ORG.1411.PL.002.FORM.01Application for Access FormPolicy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015.Jul 8, 2024
ORG.1411.PL.002.SD.02Third Party Consult Flow ChartPolicy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015.Jul 8, 2024
ORG.1411.PR.002Third Party Consultation Process under The Freedom of Information and Protection of Privacy ActTo further provide direction related to the Third Party consultative process under FIPPA.Jul 8, 2024
ORG.1411.PR.001Request for Access Response Coordination Process under The Freedom of Information and Protection of Privacy ActCreated procedure that aligns with amendments to FIPPA. To provide a step by step process for responding to requests to access records under FIPPA.Jul 8, 2024
ORG.1411.PR.001.FORM.01The Freedom Information and Protection of Privacy Act Communication TemplateCreated procedure that aligns with amendments to FIPPA. To provide a step by step process for responding to requests to access records under FIPPA.Jul 8, 2024
ORG.1411.PL.004Correction of Personal Information Under The Freedom of Information and Protection of Privacy ActRevised to reflect amendments to FIPPA and new SH-SS format.Jul 8, 2024
ORG.1411.PL.002Access to Information and Processing of Requests under FIPPAPolicy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015.Jul 8, 2024
ORG.1411.PL.003Administration Responsibilities Under The Freedom of Information and Protection of Privacy ActUpdate to reflect amendments to FIPPA. New format.Jul 8, 2024
ORG.1411.PL.507.SD.01Texting on Smart Phones in the Workplace Frequently Asked Questions FAQProvide direction to SH-SS staff when using texting as a method of communicating with clients, natural supports and other staff.Jan 15, 2024
ORG.1411.PL.507Texting with Clients Natural Supports and other StaffProvide direction to SH-SS staff when using texting as a method of communicating with clients, natural supports and other staff.Jan 15, 2024
ORG.1411.SG.002.SD.01Disclosure of PHI for Review by HCP andor a Professional Regulatory Body Letter TemplateJan 15, 2024
ORG.1411.PL.404Security and Storage of Confidential Information including TransportationTo align with Digital Shared Services around the use of USB storage devices, specifically restricting the use of network connected devices to only accept encrypted USB storage devices.Dec 29, 2023
ORG.1411.PL.502.SD.01Personal Health Information Act PHIA DefinitionsIncluded definitions for alternate decision maker and healthDec 29, 2023
ORG.1411.PL.001.SD.01FIPPA DefinitionsDec 29, 2023
ORG.1411.PL.001Annual Reporting Under The Freedom of Information and Protection of Privacy Act FIPPADec 29, 2023
ORG.1411.PL.404.FORM.02Tracking Transport Confidential Information Records for Appointments FormJan 11, 2023
ORG.1411.PL.404.FORM.01Tracking of Confidential Information WorksheetJan 11, 2023
ORG.1411.PL.101.FORM.01.FRequest to Access Personal Health Information – FrenchOct 3, 2022
ORG.1411.PL.101.FORM.06.FRequest for Additional Information Template – FrenchOct 3, 2022
ORG.1411.PL.101.FORM.03.FRefusing a Request For Access – FrenchOct 3, 2022
ORG.1411.PL.101.FORM.07.FNotification of Abandoned Request Template – FrenchOct 3, 2022
ORG.1411.PL.101.FORM.05.FEstimate of Fees for Access to Personal Health Information Template FROct 3, 2022
ORG.1411.PL.101Access to Personal Health InformationOct 3, 2022
ORG.1411.PL.101.FORM.04Record Does Not Exist or Cannot Be Located TemplateSep 29, 2022
ORG.1411.PL.203.FORM.02Reporting and Investigating Privacy Breaches and Complaints Fact finding Interview GuideJul 13, 2022
ORG.1411.PL.203Reporting and Investigating Privacy Breaches and ComplaintsJul 13, 2022
ORG.1411.PL.203.FORM.01Privacy Incident ReportJul 13, 2022
ORG.1411.PL.101.FORM.01Request to Access Personal Health InformationMar 3, 2022
ORG.1411.PL.101.FORM.06Request for Additional Infomation TemplateJan 28, 2022
ORG.1411.PL.101.FORM.07Notification of Abandoned Request TemplateJan 28, 2022
ORG.1411.PL.101.FORM.05Estimate of Fees for Access to Personal Health Information TemplateJan 28, 2022
ORG.1411.PL.104Correction of Personal Health InformationJan 28, 2022
ORG.1411.PL.502Use and Disclosure of Personal Health InformationDec 20, 2021
ORG.1411.PL.503.SD.03Video Surveillance NotificationNov 17, 2021
ORG.1411.PL.503.SD.02Respect Privacy PosterNov 17, 2021
ORG.1411.PL.503.SD.01Respect Privacy Poster Long Term CareNov 17, 2021
ORG.1411.PL.503Audio Video and Photographic Recording including SurveillanceNov 17, 2021
ORG.1411.PL.101.FORM.03Refusing a Request For AccessAug 27, 2021
ORG. 1411.PL.006Preparing Fee Estimates under the Freedom of Information and Protection of Privacy Act FIPPAJan 29, 2021
ORG.1411.SG.001Emailing Confidential InformationSep 4, 2020
ORG.1411.SG.001.SD.01Email Acknowledgment and AgreementSep 4, 2020
ORG.1411.PL.505.FORM.01Disclosure of Personal Health Information to Police Without Consent FormFeb 4, 2020
ORG.1411.PL.505Disclosure of Personal Health Information to PoliceFeb 4, 2020
ORG.1411.PL.502.FORM.03Record of Access Disclosure Release of Personal Health InformationOct 29, 2019
ORG.1411.PL.502.FORM.02.FConsent to Use Personal Health Information Form – FrenchOct 29, 2019
ORG.1411.PL.502.FORM.02Consent to Use Personal Health Information FormOct 29, 2019
ORG.1411.PL.502.FORM.01.FConsent to Disclose Personal Health Information Form – FrenchOct 29, 2019
ORG.1411.PL.502.FORM.01Consent to Disclose Personal Health InformationOct 29, 2019
ORG.1411.PL.411.FORM.01The Protecting Children Information Sharing Act Information RequestFeb 5, 2019
ORG.1411.PL.411.SD.01The Protecting Children Information Sharing Act Decision Making ToolFeb 5, 2019
ORG.1411.PL.411.SD.02Question and Answer Guide for The Protection of Children Information Sharing ActFeb 5, 2019
ORG.1411.PL.411Information and Sharing under The Protecting Children Information Sharing Act PCISAFeb 5, 2019
ORG.1411.PL.201.SD.01PHIA Self Learning Package GeneralNov 8, 2018
ORG.1411.PL.201Confidentiality of Personal Health InformationSep 21, 2017
ORG.1411.PL.505.SD.02Statement Request from Police for PHI FlowchartFeb 1, 2017
ORG.1411.PL.505.SD.03Request for Personal Health Information from Police MPI WCB Chief Medical Examiners officeFeb 1, 2017
ORG.1411.PL.104.FORM.01.FRequest to Correct Personal Health Information – FrenchFeb 1, 2017
ORG.1411.PL.104.FORM.01Request to Correct Personal Health InformationFeb 1, 2017
ORG.1411.PL.502.FORM.05Record of Disclosure of Personal Health Information CommunityFeb 1, 2017
ORG.1411.PL.502.FORM.04Record of Access Disclosure Release of Personal Health Information CommunityFeb 1, 2017
ORG.1411.PL.201.FORM.02Information and Agreement for Persons Associated with SH-SSFeb 1, 2017
ORG.1411.PL.101.FORM.02Granting Request For Access FormFeb 1, 2017
ORG.1411.505.SD.01Emergency Demand for Records SampleFeb 1, 2017
ORG.1411.PL.505.FORM.02Disclosure of Personal Health Information to Police With Consent FormFeb 1, 2017
ORG.1411.PL.201.FORM.01Declaration of ConfidentialityFeb 1, 2017
ORG.1411.PL.201.FORM.03Confidentiality Agreement for VendorsFeb 1, 2017
ORG.1411.PL.404.FORM.03Confidential Information LabelFeb 1, 2017
ORG.1411.PL.102Access Disclosure and Correction to the Clinical Record under The Mental Health ActFeb 1, 2017
ORG.1411.PL.201.FORM.04Agreement for Persons Conducting QI or Program EvaluationFeb 1, 2017
ORG.1411.PL.504Disclosure of Personal Health Information Requested for Legal ProceedingsJan 23, 2017
ORG.1411.PL.301.SD.01Privacy Impact Assessment GuideJan 12, 2017
ORG.1411.PL.301.FORM.02Privacy Impact Assessment AddendumJan 12, 2017
ORG.1411.PL.301.FORM.01Privacy Impact Assessment ToolJan 12, 2017
ORG.1411.PL.301Completion of Privacy Impact Assessment PIAJan 12, 2017
ORG.1411.PL.302.SD.01Privacy Requirements for Electronic Information Systems FlowchartJan 10, 2017
ORG.1411.PL.302Privacy Requirements for Electronic Information Systems DatabasesJan 10, 2017
ORG.1411.PL.405Audit of Security SafeguardsJan 10, 2017
ORG.1411.PL.501Collection of Personal Health InformationJan 9, 2017
ORG.1411.PL.407Transmission of Personal Health Information Via Facsimile FaxMar 14, 2016
ORG.1411.PL.407.SD.01Transmission of Personal Health Information via Fax ChecklistMar 14, 2016
ORG.1411.PL.007Privacy of Personal Information under The Freedom of Information and Protection of Privacy Act FIPPADec 14, 2015
ORG.1411.PL.005Powers and Duties of The Ombudsman Under The Freedom of Information and Protection of Privacy Act FIPPADec 14, 2015
ORG.1411.PL.506Disclosure of Personal Health Information for Health ResearchApr 8, 2015

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