Physiotherapy and Beyond Privacy Policy

Privacy of personal information is an important principle at Physiotherapy and Beyond. As such we are committed to collecting, using and disclosing personal information responsibly and only to the extent necessary for the goods and services we provide. We also try to be open and transparent as to how we handle personal information. This document describes our privacy policies and if you have any questions or concerns we will do our best to address them. 

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What Is Personal Information?

 Personal information is information about an identifiable individual. Personal information includes information that relates to their personal characteristics (e.g., gender, age, income, home address or phone number, ethnic background, family status), their health (e.g., health history, health conditions, health services received by them) or their activities and views (e.g., religion, politics, opinions expressed by an individual, an opinion or evaluation of an individual). Personal information is to be contrasted with business information (e.g., an individual’s business address and telephone number), which is not protected by privacy legislation. 

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Who We Are

 At Physiotherapy and Beyond as of the date of this document the staff (permanent and contract) includes four physiotherapists, one registered massage therapist, one on-call occupational therapist, one dietitian, kinesiology staff and four support staff. We use a number of consultants and agencies that may, in the course of their duties, have limited access to personal information we hold. These include computer consultants, office security and building maintenance, bookkeepers and accountants, temporary workers to cover holidays, credit card companies, website managers, cleaners and lawyers. We restrict their access to any personal information we hold as much as is reasonably possible. We also have their assurance that they follow appropriate privacy principles and monitor their activity where possible. 

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We Collect Personal Information: Primary Purposes

Like all physiotherapy and medical offices, we collect, use and disclose personal information in order to serve our clients. For our clients, the primary purposes for collecting personal information are to provide rehabilitation services including, physiotherapy, registered massage therapy, dietetic, manual therapy, occupational therapy as well as exercise based rehabilitation programs. In order to this effectively we collect personal information. For example, we collect information about a client’s health history, including their family history, physical condition and function and social situation in order to help us assess what their health needs are, to advise them of their options and then to provide the health care they choose to have. A second primary purpose is to obtain a baseline of health and social information so that in providing ongoing health services we can identify changes that are occurring over time. It would be rare for us to collect such information without the client’s express consent, but this might occur in an emergency (e.g., the client is unconscious) or where we believe the client would consent if asked and it is impractical to obtain consent (e.g., a family member passing a message on from our client and we have no reason to believe that the message is not genuine). 

About Members of the General Public

For members of the general public, our primary purposes for collecting personal information are to provide notice of special events (e.g., a seminar or conference) or to make them aware of the Physiotherapy and Beyond clinic and its services as appropriate. For example, while we try to use work contact information where possible, we might collect home addresses, fax numbers and email addresses. We try to obtain consent before using any such personal information, but where this is not, for any reason, possible, we will upon request immediately remove any personal information from our distribution list. With respect to email communication in particular we will make all efforts to comply with all antispam legislation. On our website we only collect, with the exception of cookies, the personal information you provide and only use that information for the purpose you gave it to us (e.g., to respond to your email message, to register for a course, to subscribe to our newsletter). Cookies are only used to help you navigate our website and are not used to monitor you. 

About Contract Staff, Volunteers and Students

For people who are contracted to do work for us (e.g., temporary workers), our primary purpose for collecting personal information is to ensure we can contact them in the future (e.g., for new assignments) and for necessary work-related communication (e.g., sending out paycheques, yearend tax receipts). Examples of the type of personal information we collect for those purposes include home addresses and telephone numbers. It is rare for us to collect such information without prior consent, but it might happen in the case of a health emergency (e.g., a SARS outbreak) or to investigate a possible breach of law (e.g., if a theft were to occur in the clinic). If contract staff, volunteers or students wish a letter of reference or an evaluation, we will collect information about their work related performance and provide a report as authorized by them. 

We Collect Personal Information: Related and Secondary Purposes

Like most organizations, we also collect, use and disclose information for purposes related to or secondary to our primary purposes. The most common examples of our related and secondary purposes are as follows: 

• To invoice clients for goods or services that were not paid for at the time, to process credit card payments or to collect unpaid accounts. 
• To advise clients that their product or service should be reviewed (e.g., to ensure a product is still functioning properly and appropriate for their then current needs and to consider modifications or replacement). 
  
• To advise clients and others of special events or opportunities (e.g., a seminar, development of a new service, arrival of a new product) that we have available. 
• Our clinic reviews client and other files for the purpose of ensuring that we provide high quality services, including assessing the performance of our staff. In addition, external consultants (e.g., auditors, lawyers, practice consultants, voluntary accreditation programs) may on our behalf do audits and continuing quality improvement reviews of our Clinic, including reviewing client files and interviewing our staff. 
• Physiotherapists, Registered Massage Therapists, Occupational Therapists, kinesiologists, Registered Dietitians and other health care professionals are regulated by their respective Colleges or regulatory bodies including the College of Physiotherapists of Ontario who may inspect our records and interview our staff as a part of their regulatory activities in the public interest. In addition, as professionals, we will report serious misconduct, incompetence or incapacity of other practitioners, whether they belong to other organizations or our own. Also, our organization believes that it should report information suggesting serious illegal behaviour to the authorities. External regulators have their own strict privacy obligations. 
• Sometimes these reports include personal information about our clients, or other individuals, to support the concern (e.g., improper services). Also, like all organizations, various government agencies (e.g., Canada Customs and Revenue Agency, Information and Privacy Commissioner, Human Rights Commission, etc.) have the authority to review our files and interview our staff as a part of their mandates. In these circumstances, we may consult with professionals (e.g., lawyers, accountants) who will investigate the matter and report back to us. 
• The cost of some goods/services provided by the organization to clients is paid for by third parties (e.g., OHIP, WSIB, private insurance, motor vehicle accident insurance, Assistive Devices Program). These third-party payers often have your consent or legislative authority to direct us to collect and disclose to them certain information in order to demonstrate client entitlement to this funding. 

• Clients or other individuals we deal with may have questions about our goods or services after they have been received. We also provide ongoing services for many of our clients over a period of months or years for which our previous records are helpful. We retain our client information for a minimum of ten years after the last contact to enable us to respond to those questions and provide these services (our regulatory College also requires us to retain our client records). 
• If the Physiotherapy and Beyond Clinic or its assets were to be sold, the purchaser would want to conduct a “due diligence” review of the Clinic’s records to ensure that it is a viable business that has been honestly portrayed to the purchaser. This due diligence may involve some review of our accounting and service files. The purchaser would not be able to remove or record personal information. Before being provided access to the files, the purchaser must provide a written promise to keep all personal information confidential. Only reputable purchasers who have already agreed to buy the organization’s business or its assets would be provided access to personal information, and only for the purpose of completing their due diligence search prior to closing the purchase. 
• You may choose not to be part of some of these related or secondary purposes (e.g., by declining to receive notice of special events or opportunities, by paying for your services in advance). We do not, however, have much choice about some of these related or secondary purposes (e.g., external regulation). 

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Protecting Personal Information

We understand the importance of protecting personal information. For that reason, we have taken the following steps: 

• Paper information is either under supervision or secured in a locked or restricted area. 
• Electronic hardware is either under supervision or secured in a locked or restricted area at all times with limited access. In addition, passwords are used on computers. 
• Electronic information is mostly stored and backed up locally with two exceptions. We have a cloud portion of our clinic software (Clinicmaster) for medical charting as well as scheduling that allows users limited access to very specific information. We also use an online electronic exercise prescription software (Simple Set) that collects minimal demographic information to maintain a database of client exercises as appropriate. Simple Set does have their privacy policy in accordance with appropriate privacy regulations. 
• Paper information is transmitted through sealed, addressed envelopes or boxes by reputable companies. 
• Electronic information is transmitted either through a direct line or is anonymized or encrypted. 
• Staff is trained to collect, use and disclose personal information only as necessary to fulfill their duties and in accordance with our privacy policy. 
• In some instances, information may be taken offsite for clinical visits/purposes or to complete charting by the accountable therapist who will be responsible for keeping the information protected and confidential. Upon return to the clinic the information will again be in secure onsite storage. 
• Electronic access of information will be only utilized when required and only by appropriate staff for clinical purposes. Information accessed on or offsite will be completed using secure methods. 
• External consultants and agencies with access to personal information must enter into privacy agreements with us. 
  

Retention and Destruction of Personal Information

We need to retain personal information for some time to ensure that we can answer any questions you might have about the services provided and for our own accountability to external regulatory bodies. However, we do not want to keep personal information too long in order to protect your privacy. We keep our client files for about ten years. Our client and contact directories are much more difficult to systematically destroy, so we remove such information when we can if it does not appear that we will be contacting you again. However, if you ask, we will remove such contact information right away. We keep any personal information relating to our general correspondence (e.g., with people who are not clients) newsletters, seminars and marketing activities for about six months after the newsletter ceases publication or a seminar or marketing activity is over. We destroy paper files containing personal information by shredding. We destroy electronic information by deleting it and, when the hardware is discarded, we ensure that the hard drive is physically destroyed with a record kept of its destruction where possible. Alternatively, we may send some or the entire client file to our client if requested for a nominal fee. 

You Can Look At Your Information

With only a few exceptions, you have the right to see what personal information we hold about you. Generally all you have to do is ask. We can help you identify what records we might have about you. We will also try to help you understand any information you do not understand (e.g., short forms, technical language, etc.). We will need to confirm your identity, if we do not know you, before providing you with this access. We reserve the right to charge a nominal fee for such requests. If there is a problem we may ask you to put your request in writing. If we are unable or cannot give you access, we will inform you within 30 days if at all possible and with the reason, as best we are able, as to why we cannot or are unable to provide you access. If you believe there is a mistake in the information, you have the right to ask for it to be corrected. This applies to factual information and not to any professional opinions we may have formed. In order to maintain the accuracy of our information, we may ask you to provide documentation that our files or personal information are incorrect. Where we agree that we made a mistake, we will make the correction and notify anyone to whom we sent this information as required. If we do not agree that we have made a mistake, we will still agree to include in our file a brief statement from you on the point and we will forward that statement to anyone else who received the earlier information as appropriate or required. 

Do You Have a Question?

Our Information Officer is Raafat Rofail who can be reached at:

Physiotherapy and Beyond
8 Stavebank Road North
Suite 201
Mississuga, ON
L5G 2T4
Email: care@physiotherapyandbeyond.com
Phone: (905)278-7101
Fax: (905) 278-9005

He will attempt to answer any questions or concerns you might have. If you wish to make a formal complaint about our privacy practices, you may make it in writing to our Information Officer. He will acknowledge receipt of your complaint; ensure that it is investigated promptly and that you are provided with a formal decision and reasons in writing. If you have a concern about the professionalism or competence of our services or the mental or physical capacity of any of our professional staff we would ask you to discuss those concerns with us. However, if we cannot satisfy your concerns, you are entitled to complain to our regulatory bodies: 

College of Physiotherapists of Ontario 
‍375 University Ave.
Suite 800
Toronto ON M5G 2J5
Email: info@collegept.org
Phone: (416)591-3828 / 1(800)583-5885
Fax: (416) 591-3834

College of Massage Therapists of Ontario
‍1867 Yonge Street,
Suite 810
Toronto, Ontario M4S 1Y5
E-mail: cmto@cmto.com 
Phone: (416)489-2626 / 1(800)465-1933
Fax: 416-489-2625 

College of Occupational Therapists of Ontario
20 Bay Street
Suite 900, PO Box 78
Toronto, ON
M5J 2N8
Email: info@coto.org 
Phone: (416)214-1177 / 1(800)890-6570
Fax: 416-214-1173      

College of Kinesiologists of Ontario
160 Bloor Street East
Suite 1402
Toronto ON
M4W 1B9
Email: info@coko.ca
Phone: (416)961-7000
Fax: (416) 961-7009

College of Dietitians of Ontario
‍5775 Yonge Street
Suite 1810, Box 30
Toronto ON
M2M 4J1
Email: information@collegeofdietitians.org
Phone: (416)598-1725 / 1(800)668-4990
Fax: (416) 598-0274

This policy is made under the Personal Information Protection and Electronic Documents Act. That is a complex Act and provides some additional exceptions to the privacy principles that are too detailed to set out here. There are some rare exceptions to the commitments set out above. For more general inquiries, the Privacy Commissioner of Canada oversees the administration of the privacy legislation in the private sector. The Commissioner also acts as a kind of ombudsman for privacy disputes. The Privacy Commissioner can be reached at: 

112 Kent Street
Ottawa, Ontario
K1A 1H3
Phone (613)995-8210 / Toll-free 1(800)282-1376
Fax (613) 947-6850
TTY (613) 992-9190
www.privcom.gc.ca