Bancroft Community Family Health Team strives to provide the best care possible.  This means extending our Communications with patients to include Virtual/Electronic means (i.e. Patient Portal or Email). Listed below are two consents for Virtual/Electronic communications that we are offering.  Please Register for both if you are willing.

Bancroft Community Family Health Team Virtual Communications Agreement & Consent


I agree that my healthcare team – my doctors, their staff, the Bancroft Community Family Health Team (BCFHT) -and I will communicate by electronic means for medical matters.

“Virtual Communications” referred to in this Agreement are Virtual or Electronic and can be in the form of Email, Text Message, Website, Patient Portal, and/or Videoconferencing.

Risks of using Virtual Communications

Transmitting patient information poses several risks of which you should be aware. The risks include, but are not limited to, the following:

  • The privacy and security of Virtual Communications cannot be guaranteed. I recognize that Virtual Communications can be viewed by other people if I were to leave my electronic device open on shared or public computers.

  • Employers and online services may have a legal right to inspect and keep written Virtual communication that pass through their system.

  • Written Virtual Communications is easier to falsify, and it is impossible to verify the true identity of the sender, or to ensure that only the recipient can read the email once it has been sent.

  • Written Virtual Communication can introduce viruses into a computer system, and potentially damage or disrupt the computer.

  • Written Virtual Communication can be forwarded, intercepted, circulated, stored or even changed without the knowledge or permission of the Physician or the patient.

  • Virtual Communications can be misdirected, and I will be responsible for any emails sent from my electronic devices that may not go to the intended recipient.

  • Written Virtual Communication may be permanent. Even after the sender and recipient have deleted their copies of the email, back-up copies may exist on a computer or in cyberspace.


Conditions of using Virtual Communications

  • We recommend that each person (16 years and older) should have their own personal Email address for Privacy.

  • Although we aim to read and respond promptly to your written Virtual communication, we cannot guarantee that any written virtual communication will be read and responded to within any particular period of time.

  • Any Virtual Communications sent by me or to me by my healthcare team are confidential and will be a permanent part of my file.

  • I acknowledge that any Virtual Communications I send to the healthcare team may be read by any staff as it relates to their usual duties.

  • I will not use Virtual Communications for time sensitive matters. If a medical issue is urgent, I will call the office or Telehealth after hours and on weekends (1-866-553-7205).

  • I will not communicate highly sensitive medical information through electronic communications.

  • My healthcare team may forward Virtual Communications to those involved with your care (for example a referral to a specialist).

  • I will protect my own electronic devices and will not hold the healthcare team responsible if confidential information is made public through my own negligence. I will not hold the healthcare team liable for information lost due to technical failures beyond the control of the team.

  • I acknowledge that either I or the healthcare team may, at any time, withdraw the option of communicating Virtually. This will be done so in writing.



Protect your own devices, videoconference in a quiet space away from others.

Inform the team if my Virtual communication account or information changes (i.e. Email address change).

State your name in all communications.

Please put the nature of your Virtual communication in the subject line, for example “questions” or “medication requests”.