Please review the notice of collection and consent of information below to continue.
COLLECTION OF PERSONAL AND PERSONAL HEALTH INFORMATION
This information is being collected under the authority of the Health Protection and Promotion Act, R.S.O. 1990, c.H.7 for the purposes of the control of infectious diseases and diseases of public health significance, including the provision of immunization services; protecting the health of individuals against vaccine preventable diseases; the administration of Ontario’s COVID-19 vaccination program including creating an electronic immunization record; client follow up and the provision of statistical data to the Ministry of Health. Information will be collected, used, and disclosed in accordance with the Personal Health Information Protection Act, 2004, S.O. 2004, c. 3 as well as other purposes authorized and required by law. Questions about this collection of information should be addressed to the Manager, Health Information, Privacy and Security at 605 Rossland Road E., P.O. Box 730, Whitby, ON, L1N 0B2.
CONSENT TO THE COLLECTION AND USE OF INFORMATION
I consent to the Medical Officer of Health for the Regional Municipality of Durham electronically collecting and using personal and personal health information for the following purposes:
- To book a vaccination appointment;
- To text or email you to confirm your upcoming appointment and/or changes to your scheduled appointment;
- To keep an electronic record of immunization; and
- To provide health care providers with electronic access to immunization information for the provision of health care.
WITHDRAWING CONSENT
You may withdraw your consent to the collection, use and/or disclosure of your information at any time.
