CMA/SMA Privacy Poster
 
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Sample Patient
Information Brochure:
THE PRIVACY OF YOUR MEDICAL INFORMATION
The physicians and staff of this clinic are committed to protecting
your privacy. This brochure is intended to tell you what steps
we are taking to protect your privacy, and to tell you of your
rights under Saskatchewan law.
The Collection and Use of your Information
In order to provide you with quality health care, we keep a record
of information about your health status and a record of the care
that we have provided to you. We may need to share this information
with other health professionals or institutions who are involved
in your care. However, we will only share your information on
a “need to know” basis and will share only the information
necessary to provide you with proper care.
We may provide information to other physicians or health professionals
who are treating you, pharmacists who dispense drugs that we prescribe,
and hospitals or other medical facilities where you are receiving
care.
We also must meet legal requirements to disclose medical information
in certain specific circumstances. We may be required to provide
information about your medical care:
· To agencies who pay for the care we provide to you;
· When the law requires us to report a patient’s
condition. For example, we are required to report information
about child abuse or neglect, some communicable diseases, and
medical conditions that may interfere with a patient’s ability
to drive safely;
· To respond to an investigation by the College of Physicians
and Surgeons;
· In response to a court order.
Access to your Patient Record
Unless there are unusual circumstances, you have the right to
review and/or obtain copies of your patient chart.
If access or copies are provided, our clinic may charge a reasonable
fee to cover our expenses.
Changes to your Patient Record
You can request a change to the information in your patient record
if you think that there is an error or omission in the record.
We will place a notation on your chart that you requested the
amendment, and may include a notation of our opinion about the
accuracy of your amendment.
Security and Protection of your Information
We will keep accurate records of your health information and
will follow all legal requirements for the security, retention
and destruction of these records.
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