Collection of personal information:

Sherwood Park Manor collects personal health information about you directly from you or from the person acting on your behalf. The personal health information that we collect may include, for example, your name, date of birth, address, health history, record of hospital visits. Occasionally we collect health information about you from other sources if we have obtained your consent to do so or if the law permits.

Uses and Disclosure of Personal Health Information:

Sherwood Park Manor will use and disclose your health information to

• Treat and care for you
• Arrange payment for your treatment or care
• Plan, administer and manage our internal operations
• Conduct risk management activities
• Conduct quality improvement activities (such as sending resident satisfaction surveys)
• Compile statistics
• Comply with legal requirements

Your choices:

You may access and correct your personal health records or withdraw your consent for some of the above uses and disclosures by contacting us (subject to legal exceptions).

Important Information:

• Sherwood Park Manor takes steps to protect your personal health information from theft, loss, unauthorized access, copying, modification, use, disclosure, and disposal.
• Sherwood Park Manor conducts audits and complete investigations to monitor and manage our privacy compliance.
• Sherwood Park Manor takes steps to ensure that everyone who performs services for us protects your privacy and only uses your personal health information for the purposes to which you have consented.

How to Contact Us:

Our privacy coordinator is Mrs. Joan Bennett, Administrator at 1814 County Road #2 East; Brockville, Ontario K6V 5T1  Telephone: (613) 342-5531

You have a right to complain to the Information and Privacy Commissioner of Ontario

2 Bloor Street East, Suite 1400

Toronto, Ontario

M4W 1A8

(416) 326-3333     Toll free 1-800-387-0073

(416) 325-9195 (Facsimile)

www.ipc.on.ca