Requests for Records

Upon request, we will inform you of the existence, use and disclosure of your personal information. We will provide access to the information except in circumstances proscribed by the federal Personal Information Protection and Electronic Documents Act (PIPEDA) or an applicable provincial privacy law which has been declared substantially similar. For example, access may not be provided when doing so would reveal personal information about a third party or could reasonably be expected to threaten the life or security of another individual or where disclosure would reveal confidential commercial information.

Requesting Access to Your Personal Information

You may request to review your personal information in one of our many regional offices. Homewood Health staff will be made available to provide support and answer any questions that you may have. You may also request documents pertaining to the appointments or services you have received through Homewood Health.

To make an access request, complete, sign and return the Request to Access Form . A witness to your signature must also sign the form.

Requesting Personal Information to be Sent to Others

Your personal information may be sent to others only if the request is accompanied by your written consent, or as directed by law. Your consent must direct Homewood Health specifically to release information, be recently signed by yourself and your signature be witnessed, and the consent must clearly identify to whom the information is to be released. To protect your privacy, Homewood Health will only release information sufficient to fulfill the request and you may limit or withdraw your consent at any time. Disclosures which have already occurred cannot be rescinded or limited. We may request that you confirm or renew your consent for subsequent requests in order to ensure that your circumstances have not changed.

To request that we provide your information to others, complete, sign and return the witnessed Consent to the Disclosure of Personal Information to Others Form.

Fees

In compliance with PIPEDA and provincial legislation, access and disclosure requests may be subject to fees. Where applicable, fee estimates will be provided.

Contact Information

We are pleased to answer any questions you may have regarding requests for records. Direct questions regarding:

Homewood Health Inc.
Stay at Work Services including (EFAP Counselling, Disability Prevention Services, Depression Care, Trauma Care) and 
Return to Work Services (Disability Management, Specialized Services, Psychological Assessment and Treatment Program, Complex Case Management, Rapid Impact, etc.)

Records Management, CIM--DS 
Clinical Information Management - Data Services
Homewood Health
150 Delhi Street
Guelph, Ontario N1E 6K9
Telephone: (800) 265-8310 Ext. 43113
Fax: (800) 427-9295
Email: requestforrecords@homewoodhealth.com

Homewood Health Centre
Inpatient and Outpatient Programs (Addiction Medicine Services, Acute Care, Comprehensive Psychiatric Care, Community Addiction Services, etc)

Correspondence, CIM
Clinical Information Management 
Homewood Health
150 Delhi Street
Guelph, Ontario N1E 6K9
Telephone: (519) 824-1010 Ext. 32511
Toll Free: (800) 265-8310 Ext. 32511
Fax: (519) 767-3552
Email: him@homewoodhealth.com