CONSENT NOTICE
Yukon’s Health Information Privacy and Management Act (HIPMA) protects the privacy of your personal health information. We are authorized to collect, use and disclose personal health information about you with your consent. Please read this notice carefully as it is through this notice that you provide us with your consent to collect, use and disclose your personal health information.
Collection: We collect and use your personal health information to provide you with health care (such as your name, address and health care history) and to arrange for payments related to your health care (such as your health care insurance number). We will only collect the minimal amount of personal health information that is necessary.
Disclosure: We will disclose your personal health information only to other care providers who are involved in your care and to health care insurance plan providers as necessary to receive payment for your health care. We will only disclose the minimal amount of your personal health information that is necessary.
Consent may not be required: We will only collect, use or disclose personal health information without your consent if we are authorized or required by HIPMA. This could occur if we are required to disclose infectious disease information or if we are ordered by a court.
Disclosure outside of the Yukon: If we are authorized to disclose personal health information to a health care provider or other person outside the Yukon, the laws of the place where your personal health information was disclosed will apply to the collection, use or disclosure by the health care provider or person.
You may refuse or withdraw your consent at any time.
You may refuse to consent to the collection, use or disclosure of any or all of your personal health information. If you give consent and change your mind, you may withdraw your consent by providing a written request to our office.
We can answer your questions.
We will answer any questions you have so that you can exercise your right to refuse or withdraw consent. Your concerns will be addressed.
If you have any concerns about our collection, use or disclosure of your personal health information as described in this notice, or about how we protect your personal health information, or if you want more information, please talk to any of our staff or our privacy officer or the Yukon’s Information and Privacy Commissioner.
Klondyke Medical Clinic Inc. Privacy Officer: 867-668-4046
302 Ogilvie Street, Whitehorse, YT, Y1A 0M1
Yukon’s Information and Privacy Commissioner: 867-667-8468
3162 Third Avenue, Main Floor Whitehorse, Yukon
Yukon’s Health Information Privacy and Management Act (HIPMA) protects the privacy of your personal health information. We are authorized to collect, use and disclose personal health information about you with your consent. Please read this notice carefully as it is through this notice that you provide us with your consent to collect, use and disclose your personal health information.
Collection: We collect and use your personal health information to provide you with health care (such as your name, address and health care history) and to arrange for payments related to your health care (such as your health care insurance number). We will only collect the minimal amount of personal health information that is necessary.
Disclosure: We will disclose your personal health information only to other care providers who are involved in your care and to health care insurance plan providers as necessary to receive payment for your health care. We will only disclose the minimal amount of your personal health information that is necessary.
Consent may not be required: We will only collect, use or disclose personal health information without your consent if we are authorized or required by HIPMA. This could occur if we are required to disclose infectious disease information or if we are ordered by a court.
Disclosure outside of the Yukon: If we are authorized to disclose personal health information to a health care provider or other person outside the Yukon, the laws of the place where your personal health information was disclosed will apply to the collection, use or disclosure by the health care provider or person.
You may refuse or withdraw your consent at any time.
You may refuse to consent to the collection, use or disclosure of any or all of your personal health information. If you give consent and change your mind, you may withdraw your consent by providing a written request to our office.
We can answer your questions.
We will answer any questions you have so that you can exercise your right to refuse or withdraw consent. Your concerns will be addressed.
If you have any concerns about our collection, use or disclosure of your personal health information as described in this notice, or about how we protect your personal health information, or if you want more information, please talk to any of our staff or our privacy officer or the Yukon’s Information and Privacy Commissioner.
Klondyke Medical Clinic Inc. Privacy Officer: 867-668-4046
302 Ogilvie Street, Whitehorse, YT, Y1A 0M1
Yukon’s Information and Privacy Commissioner: 867-667-8468
3162 Third Avenue, Main Floor Whitehorse, Yukon