PHIPA Correction Request Form
Who should use this form:
Alumni
Students
Use this form to request correction to your personal Health Record under the Personal Health Information Protection Act.
Department: Risk Management and Access to Information
Correction Request Form
Who should use this form:
Alumni
Faculty
Students
Staff
Use this form to request correction of Personal Information under the Freedom of Information and Protection of Privacy Act.
Department: Risk Management and Access to Information
Access Request Form
Who should use this form:
Alumni
Faculty
Students
Staff
Use this form if you are requesting access to General Records or access to Own Personal Information.
This form is also intended for the Public.
Department: Risk Management and Access to Information
Breach of Privacy
Who should use this form:
Alumni
Faculty
Students
Staff
In cases where a significant breach of privacy has occurred, that is, disclosure of personal information contrary to the law, please complete this form (can be done entirely electronically) and send it confidentially, ideally as an email attachment, to the Director of Risk Management and Access to Information at mshaw1@lakeheadu.ca.
Please submit the report as soon as possible after the breach has occurred.
Department: Risk Management and Access to Information