Please review the notice of collection and consent of information below to continue.
COLLECTION OF PERSONAL AND PERSONAL HEALTH INFORMATION
The personal information provided is collected under the authority of section 5 of the Health Protection and Promotion Act. The information will be used for the purposes of registering for the SMILE program, delivering services related to prenatal health, to inform program delivery, program evaluation and the administration of the program. Information will be collected, used and disclosed in accordance with the Personal Health Information Protection Act, 2004, S.O. 2004, c.3.
CONSENT TO THE COLLECTION OF INFORMATION
I consent to the Medical Officer of Health for the Regional Municipality of Durham electronically collecting personal and personal health information for the following purposes:
- To register you for a SMILE prenatal class;
- To email you with information related to your virtual session series; and
- To text and/or email you to confirm or remind you of your upcoming class and/or changes to your scheduled class.
CONSENT TO THE COLLECTION OF HEALTH CARD NUMBER
The Health Department does not require the collection of your health card number, however, should you choose to voluntarily provide your health card number during the registration process through VERTO, we will only use your health card number to verify your identity when we create a file in our electronic medical record or provincial system.
WITHDRAWING CONSENT
You may withdraw your consent to the collection, use and/or disclosure of your information at anytime. 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.
By selecting the "I confirm" checkbox I acknowledge that I have read, understood and accept how information will be collected, used and disclosed by the Durham Region Health Department.