Protecting Patient Privacy

The Personal Health Information Act, 2004, (PHIPA) came into force force November 1, 2004. This new privacy legislation governs how personal health information may be collected, used, and disclosed within the health-care system.

5 Easy Steps
The Guide for Dentists to Implement Ontario Health Privacy Requirement & Policies

Privacy Legislation for Ontario Dentists

PHIPA Q & A

Disclosure of Information in Emergency or other Urgent Circumstances

Privacy Template Forms

These forms are in Word format and easy to customize for your office. Just fill in the blanks, and add or delete the specific details unique to your dental office. These template forms are not intended to provide legal advice – they are suggestions only.

Form A	Patient Consent Form: For Collection, Use and Disclosure of Personal Information
Form B	Patient Information Sheet: How to Access the Privacy Process in Your Office
Form C	Patient Letters: Responses to Challenges to Office Privacy Practices Letter #1 – Acknowledging receipt of the patient’s privacy complaint Letter #2 – Acknowledging that you are making a correction in the patient’s records Letter #3 – Letting the patient know that no correction will be made in his/her records Letter #4 – Acknowledging that you are making a change in the office’s privacy practices Letter #5 – Letting the patient know that no change will be made in the office’s privacy practices
Form D	Confidentiality Agreement With Independent Contractors and Suppliers
Form E	Privacy Code For Your Office

Additional Reading

Informed Consent in 2001: “Don’t Leave the Office Without It”
Eleanore A. Cronk – Lax O’Sullivan Cronk
June 2001