Home Privacy Policy
You have a right to access the information in your health record, with some limited exceptions under law, for your own use or to send to other parties like your insurance, lawyer or another hospital. In order to do so, please fill out the attached form and submit to the Health Records department.
Release of Information
Lennox and Addington County General Hospital
8 Richmond Park Drive
Napanee, ON K7R 2Z4
Phone: 613-354-3301
Fax: 613-354-1847
Email: ROIRequest@lacgh.napanee.on.ca
Download: Authorization to Use/Disclose (Release) Personal Health Information
In certain circumstances, the law allows the hospital to charge a fee to recover costs. When you submit the form you will be informed if a fee applies.
If you believe the information recorded in your health record is incorrect or incomplete, per legislation, you have the right to ask to have it corrected. Complete the form below and send it to privacy@lacgh.napanee.on.ca or call the Privacy Officer at 613-354-3301 x 4460.
Download: Request Form for Correction to Personal Health Record
Your health care team needs access in order to plan and deliver your health care. This may include sharing your information with:
Yes, per legislation, we may use or share your personal health information to:
In some circumstances, like research, fundraising or patient satisfaction surveys, you can ask to not have your patient information shared by filling out the form below.
Download: Withdrawal of consent Form
During registration you will be asked if you want your name and location to appear on a list for people inquiring about you to be directed to your location. If you do not want the information released, tell the staff member registering you. If you change your mind after registration, inform the registration clerk of the change.
Your name and location in the hospital is provided to the clergy of your faith, who may visit you based on your answer. If you do not want a visit, simply do not provide us with your religion during the admitting process.
If you have reason to believe your privacy has been breached or accessed by a person(s) unauthorized to do so without your consent, please contact the Privacy Officer at:
Privacy Officer
Lennox and Addington County General Hospital
8 Richmond Park Drive
Napanee, ON K7R 2Z4
Phone: 613-354-3301 x 279
Email: privacy@lacgh.napanee.on.ca
You also have the right to complain to the Information and Privacy Commissioner/Ontario if we have been unable to resolve your concern:
Information and Privacy Commissioner/Ontario
2 Bloor St. East, Suite 1400
Toronto, ON M4W 1A8
Phone: 416-326-3333 or 1-800-387-0073
Fax: 416-325-9195
Website: www.ipc.ca