Although we strive to ensure the information on our website is accurate and secure, we accept no legal responsibility for any errors or omissions. Always discuss and check with your own physician first. This website is intended for a Canadian audience.
Further, our website affords patients the opportunity to communicate electronically. Specifically, the Patient Portal offers patients the opportunity to communicate electronically with their rheumatologist’s office. The portal is a one way communication method where the rheumatologist’s office ultimately receives an email from the patient based on the information inputted in the online form. Transmitting patient information electronically poses several risks of which the patient should be aware. The patient should not agree to communicate with the physician via this route without understanding and accepting these risks. The risks include, but are not limited to, the following:
- As the information you enter is routed through email, the privacy and security of email communication cannot be guaranteed.
- Employers and online services may have a legal right to inspect and keep emails that pass through their system.
- Email is easier to falsify than handwritten or signed hard copies. In addition, 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.
- Email can be forwarded, intercepted, circulated, stored or even changed without the knowledge or permission of the physician or the patient.
- Email is indelible. Even after the sender and recipient have deleted their copies of the email, back-up copies may exist on a computer or in cyberspace.
- Use of email to discuss sensitive information can increase the risk of such information being disclosed to third parties.
- Email can be used as evidence in court.
- The patient is aware there is no encryption software as a security mechanism for email communications.
Conditions of use
Physicians will use reasonable means to protect the security and confidentiality of email information received. However, because of the risks outlined above, the physician cannot guarantee the security and confidentiality of email communication, and will not be liable for improper disclosure of confidential information that is not the direct result of intentional misconduct of the physician. Thus, patients must consent to the use of email for patient information. Consent to the use of email includes agreement with the following conditions:
- Emails from the patient concerning diagnosis or treatment may be printed/transcribed in full and/or made part of the patient’s medical record. Because they are part of the medical record, other individuals authorized to access the medical record, such as staff and billing personnel, will have access to those emails.
- The physician may forward emails internally to the physician’s staff and to those involved, as necessary, for diagnosis, treatment, reimbursement, health care operations, and other handling. The physician will not, however, forward emails to independent third parties without the patient’s prior written consent, except as authorized or required by law.
- Although the physician will endeavour to read and respond promptly to an email from the patient, the physician cannot guarantee that any particular email will be read and responded to within any particular period of time. Thus, the patient should not use email for medical emergencies or other time-sensitive matters.
- Email communication is not an appropriate substitute for clinical examinations. The patient is responsible for following up on the physician’s email and for scheduling appointments where warranted.
- If the patient’s email requires or invites a response from the physician and the patient has not received a response within a reasonable time period it is the patient’s responsibility to follow up to determine whether the intended recipient received the email and when the recipient will respond.
- The patient should not use email for communication regarding sensitive medical information, such as sexually transmitted disease, AIDS/HIV, mental health, developmental disability, or substance abuse. Similarly, the physician will not discuss such matters over email.
- The patient is responsible for informing the physician of any types of information the patient does not want to be sent by email, in addition to those set out in the bullet above. The patient can add to or modify this list at any time by notifying the physician in writing.
- The physician is not responsible for information loss due to technical failures.
Instructions for communication through the Patient Portal
- Limit or avoid using a public computer.
- Include in the submitted form: the category of the communication in the subject line, for routing purposes (e.g., ‘prescription renewal’); and the name of the patient in the body of the communication.
- Review the form to make sure it is clear and that all relevant information is provided before sending to the physician.
- Take precautions to preserve the confidentiality of emails, such as using screen savers and safeguarding computer passwords.
- Withdraw consent only by email or written communication to the physician.
- Should the patient require immediate assistance, or if the patient’s condition appears serious or rapidly worsens, the patient should not rely on email. Rather, the patient should call the physician’s office for consultation or an appointment, visit a physician’s office or take other measures as appropriate.
- Use of the Patient Portal implies your consent to these terms.