Have a concern or feedback? We want to hear from you!

Please use the attached form to report the following:

Privacy Related Concern(s):

  • Access to Personal Health Information
  • Request to Correct Personal Health Information
  • Request a Consent Directive – Lockbox
  • Request to Withdraw Consent
  • Privacy Incident or Complaint

 

Please note: General Privacy information can be found in “Privacy Policies” on our website and/or Questions can be directed to Privacyinfo@bancroftfht.com

General Concern(s):

  • Report an Incident
  • Complaint
  • Feedback

 

Send completed forms one of the following ways:
Address General Concerns to:
Sandra McGrath, Executive Director                    Address Privacy Concerns to: Angela Holbrook, FHT Privacy Officer

 

Drop off in an envelope to our secure drop box at the front doors of 19 Oak St. office OR
Address as above and mail to Box 1089, 19 Oak St. Bancroft, ON K0L 1C0

      

   

 

For over 35 years, the Bancroft Community Family Health Team’s physicians have served the community with collaborative, comprehensive healthcare. Leaders of innovative healthcare initiatives, like Disease Management and Prevention Programs, our health professionals and mixed-expert board help patients take control of their health. Read more about Bancroft Community FHT Contact Bancroft FHT 19 Oak Street Box 1089 Bancroft, Ontario, K0L 1C0 Phone: 613-332-1565 Fax: 613-332-5541

Tags
September 2021
S M T W T F S
 1234
567891011
12131415161718
19202122232425
2627282930