Western requires documentation from the medical community for students who require academic accommodation due to medical illness. Students are required to have their physician or health care provider fill out a Student Medical Certificate.
If you require this documentation from Student Health Services:
The request for medical certificate should be made during the initial visit with the SHS physician or nurse practitioner.
The fee for having this form completed is $20. You may pick up the completed form and make your payment in the Accounts Office (Room 19) at SHS.
Medical certificates will only be considered for students who are seriously affected by illness and cannot reasonably be expected to meet their academic responsibilities. Medical certificates may NOT be issued for minor illness like colds, non-acute vomiting or diarrhea, menstrual cramps, insomnia or for past illnesses not seen at Student Health Services.
If the requested accommodation is related to a death in the family, please see your academic counsellor.
All students accessing Student Health Services are required to sign a Clinic Consent Form which is kept on file. When you register at your first appointment for medical services or counselling, you will receive a copy of this form.
Student Health Services (SHS) requires 24 hours of notice to cancel an appointment. A fee will be charged in cases of lateness, missed appointments, or not giving adequate notice. In the case of appointments cancelled the same day or within 24 hours, you will be billed for a cancellation charge. Monday appointments must be cancelled by the end of the work day on Friday to not be billed for a missed appointment. The fee is determined by the type of appointment that was booked. Failure to pay the charges will lead to the sealing of your academic records and an additional $50 administrative fee. In most cases, SHS attempts to remind patients of their appointments, but it remains the student's responsibility to ensure an appointment is not missed.
Health Services at Western is responsible for personal information under our control and has designated the Director of Health Services as the contact person for compliance with the Personal Health Information Protection Act (PHIPA) under Ontario law based on 10 privacy principles.
Principle 1. Accountability for Personal Health Information
The Director of Health Services is both Privacy Officer and contact person for privacy matters.
Western Student Health Services endeavours to be compliant with PHIPA by ensuring procedures to protect personal health information;
SHS responds to complaints and inquiries;
Staff and affiliates are educated about privacy policies and practices including the inappropriate release of personal health information outside the circle of care.
Principle 2. Identifying Purposes for the Collection of Personal Health Information
Health Services at Western will identify the purposes for collecting health information by means of posters, brochures and web site;
The primary purpose of collecting, using and sharing personal health information is to deliver patient care. We also use information for administrative purposes, research, teaching, statistics, fundraising, and to comply with our legal and regulatory requirements.
Principle 3. Consent for the Collection, Use, and Disclosure of Personal Information
We rely on implied consent for most patient care, but will seek your written consent for other purposes e.g. identifiable information used for research. Patients have the right to know why we are collecting their information and how it is being used; patients may also withdraw their consent at any time, unless the collection, use or sharing is required or permitted by law
Principle 4. Limiting Collection of Personal Health Information
Only the information necessary for the purposes identified may be collected.
Principle 5. Limiting Use, Disclosure, and Retention of Personal Information
Personal health information may be used only for the purposes for which it was collected, except with patient consent or as required by law. The information is retained only as long as necessary, and securely destroyed in accordance with legislation, guidelines and procedures. HS staff and physicians are not allowed to download patient health information to USB keys, laptops or other personal devices.
Principle 6. Ensuring Accuracy of Personal Health Information
Health Services at Western will make every effort to ensure the information we hold is accurate, complete and up-to-date. Patients have the right to challenge the accuracy of the information.
Principle 7. Ensuring Safeguards for Personal Information
Health Services at Western applies security safeguards appropriate to the sensitivity of personal health information to aim to protect it against loss, theft, unauthorized access, disclosure, copying, use, or modification, regardless of its format. Protection may include physical measures, organizational limitations, and technological measures (use of passwords, encryption and audits). If any staff members are aware ofunauthorized disclosures of health information, the Director of HS is to be notified immediately. Staff are not to download patient information or transfer information. Procedures for remote access are to be strictly followed.
Staff/physicians/work study students are required to sign a confidentiality agreement and instructed to use the internal electronic medical record system for communication regarding patient information rather than email; hard copy redundant files are to be cross-shredded as approved by the Director; faxes are secure with information unavailable to unauthorized individuals.
Principle 8. Openness about Personal Information Policies and Practices
Principle 9. Individual Access to Own Personal Information
Upon request, within a reasonable time and at a reasonable cost, any patient can access their health information.Exceptions to providing access will be limited and specific. This may include information that is prohibitively costly to provide, refers to other individuals, cannot be disclosed for legal, security or proprietary reasons, and/or is subject to solicitor-client or litigation privilege.
An individual may challenge the clinic's compliance with privacy practices by contacting the Director of Health Services, on campus at ext. 84730. The Director will investigate all complaints.
If a complaint is justified, Student Health Services at Western will take appropriate measures, including, if necessary, amendment of policies and practices.
The Ontario Privacy Commissioner may be contacted at 1-800-387-0073.