Forms

Submit online:

Report a privacy breach at your organization

File a complaint about an access or correction request to a Health Information Custodian

File a health information privacy complaint

File a privacy complaint about a provincial or municipal institution

File a privacy complaint about a child and family service provider

File a complaint about an access or correction request to a child and family service provider

Speaking engagement request

Download:

This post is also available in: French

http://www.ipc.on.ca/wp-content/uploads/2003/08/2021-request.pdf
Request Form (FIPPA/MFIPPA)

Aug 07 2003

Topic: Access Request Process Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/appfrm-e-online.pdf
Appeal Form (FIPPA/MFIPPA)

Jul 19 2004

Topic: Appeal Process Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/auth-appeal-e-frm.pdf
Authorization to Act as an Agent for Appeal (FIPPA/MFIPPA)

Jul 11 2005

Topic: Appeal Process | Legislation Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/auth-phipa-e-frm.pdf
Authorization to Act as an Agent For A Complaint under the Personal Health Information Protection Act

Jul 11 2005

Topic: Health | Legislation | Privacy Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/auth-priv-comp-e-frm.pdf
Authorization to Act as an Agent for Privacy Complaint (FIPPA/MFIPPA)

Dec 30 2002

Topic: Privacy Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/indexrec-e.pdf
Index of Records (FIPPA/MFIPPA)

Sep 24 2003

Topic: Access Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/cmpfrm-e.pdf
Privacy Complaint Form (FIPPA/MFIPPA)

Dec 31 2019

Topic: Privacy Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/up-phipa_accfrm_e.pdf
Request to Access Personal Health Information (PHIPA)

Jan 01 2005

Topic: Access | Access Request Process | Health Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/up-phipa_corrfrm_e.pdf
Request to Correct Personal Health Information (PHIPA)

Oct 03 2005

Topic: Health Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/form-1me.pdf
Research Agreement (MFIPPA)

Sep 12 2002

Topic: Privacy Type: Forms
https://www.ipc.on.ca/wp-content/uploads/Resources/form-1pe.pdf
Research Agreement (FIPPA)

Sep 12 2002

Topic: Privacy Type: Forms
http://www.ipc.on.ca/wp-content/uploads/2020/10/2020-speaking-engagement-request-form.pdf
Speaking Engagement Request Form

Aug 19 2016
https://www.ipc.on.ca/wp-content/uploads/2017/02/2017-phipa-acccmp-e.pdf
Access/Correction Complaint Form (PHIPA)

Dec 31 2019

Topic: Access | Health | Privacy Type: Forms
https://www.ipc.on.ca/wp-content/uploads/2017/02/2017-phipa-cudfrm-e.pdf
Collection, Use and Disclosure Complaint Form (PHIPA)

Feb 28 2017

Topic: Health | Privacy Type: Forms
https://www.ipc.on.ca/wp-content/uploads/2019/12/2019-access-correction-form_partx.pdf
Access and Correction Form under CYFSA

Dec 31 2019

Topic: Access | Access Request Process | Youth Type: Forms
http://www.ipc.on.ca/wp-content/uploads/2020/01/2020-cyfsa-privacy_complaint.pdf
Form to file a privacy complaint under the Child, Youth and Family Services Act (CYFSA)

Jan 15 2020

Topic: Privacy Type: Cyfsa Faq | Forms

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