Policies

Website Terms & Conditions

Terms of Use

Information is provided by GSH Medical to assist the public and is general in nature. GSH Medical cannot guarantee the accuracy of the information. Please call your clinic to confirm any information you may rely on from this site.

Do not rely upon any of the information provided on this site for medical diagnosis or treatment. Please consult your primary health care provider about any personal health concerns.

If you are feeling ill right now, please phone Telehealth Ontario directly at 1-866-797-0000 or TTY at 1-866-797-0007.

A call to Telehealth Ontario does not replace a call to 911, the first number you should call in an emergency.

Disclaimer

An inquiry to any web site should not replace a call to 911 – your first choice in the event of an emergency. If you are feeling ill or require medical attention please call your doctor or visit your closest hospital.

External Links

There may be web sites linked to and from this site that are operated or created by or for organizations outside of GSH Medical. Those organizations are solely responsible for the operation and information (including the right to display such information) found on their respective web sites. The linking to or from this site does not imply on the part of GSH Medical any endorsement or guarantee of any of the organizations or information (including the right to display such information) found on their respective web sites.

GSH Medical does not assume and is not responsible for any liability whatsoever for the linking of any of these linked web sites, the operation or content (including the right to display such information) of any of the linked web sites, nor for any of the information, interpretation, comments or opinions expressed in any of the linked Web sites. Any comments or inquiries regarding the linked web sites are to be directed to the particular organization for whom the particular web site is being operated.

Emergency Numbers

There may be Emergency Phone Numbers listed on this site that are operated or created by or for organizations outside of GSH Medical. Those organizations are solely responsible for the operation and information given by their respective organizations. The listing on this site does not imply on the part of GSH Medical any endorsement or guarantee of any of the organizations or information given by the respective organization.

GSH Medical does not assume and is not responsible for any liability whatsoever for the listing of any of these organizations, the operation or information given by any of these organizations, nor for any of the information, interpretation, comments or opinions expressed by any of these organizations. Any comments or inquiries regarding the listed phone numbers are to be directed to the particular organization for whom the particular phone number is being operated.

Accuracy of Content

This information is provided to assist the public. Although we endeavour to ensure that the information is as current and accurate as possible, errors do occasionally occur. Therefore, we cannot guarantee the accuracy of the information. Readers should where possible verify the information before acting on it.

Privacy Policy

It is the policy of GSH Medical to ensure patient confidentiality by strictly following all parts of the Personal Health Information Act (PHIPA). The Staff of GSH Medical will ensure the protection of the confidentiality of any personal health information (PHI) accessed in the course of providing patient care. We will only collect, use and disclose health information that is required for the purposes of providing care.

Use Collection and Disclosure of Personal Health Information

Consent is implied for the collection, use, and disclosure of PHI for ourselves and to other health professionals accessed in the routine process of care of patients associated with this clinic.

No consent from the patient is required when the disclosure is mandated by legislation.

Written consent is required for PHI to be shared with a third party for reasons other than care and treatment. Consent can be withdrawn at any time.

All staff are required to sign a confidentiality agreement.

Retention of Records

GSH Medical will retain patient records as required by law, and regulation of the College of Physicians and Surgeons of Ontario.

Destruction of Records

GSH Medical will destroy our records only after the requirements for retention have been fulfilled. Destruction will occur in a way that protects patient privacy in accordance with regulations made by the College of Physician and Surgeons of Ontario.

Requests for access to medical records can be made in writing to GSH Medical. An estimate that reflects the cost of photocopying and the physician’s time for reviewing the chart, adhering to the Guidelines of the Ontario Medical Association, will be provided to the patient.

Patient Access to Medical Records

Refusal of access to medical records will occur under the following circumstances:
-if the individual requesting access is someone other than the patient to which the record refers, with the exception being the legal guardian of a minor, unless written consent is obtained from the patient naming the specific designated individual or third party.
-if the information could reasonably endanger the mental or physical health or safety of the patient to which the record refers, or any other individual.
-if the disclosure would reveal PHI about another person who has not consented to the disclosure.

Requests to view the original record, having met the above requirements, will be facilitated with a staff member present to maintain the integrity of the chart. This staff member will not be able to answer any questions related to PHI recorded in the chart, but will only be present to ensure the integrity of the record. There will be a fee for this process, concordant with the Guidelines of the Ontario Medical Association.

Office Communication Devices

ANSWERING MACHINES / MESSAGES: In the event that GSH Medical needs to contact a patient for any reason and communication is occurring via an answering machine or through another individual via a message, the only information transferred by GSH Medical Staff will be a request for a call back or a request to attend the office. Exceptions to this will include:
-if the patient is a minor and the telephone contact is made with the legal guardian
-if a consent to leave PHI on an answering machine or with another individual has been documented in the patient’s record
-if the physician concludes there is a risk to personal health or safety that is grave enough to warrant breach of the patient’s right to privacy.

FAX: The fax machine and copier is located in a secure, non-patient access area. Any PHI that is sent by GSH will carry a cover sheet with a disclosure of confidentiality instructing the recipient to destroy the document and contact us in the event that it was sent to a non-intended recipient.

E MAIL: All computer terminals are kept confidential by use of passwords, and any PHI that is sent or received via e-mail will contain a disclosure of confidentiality instructing the recipient to destroy the document and contact us in the event that is was sent to a non-intended recipient.

POST / COURIER: All mail, by whatever method, is sent indicating confidentiality.

Office Policies

Medical Emergencies:

Patients with serious medical emergencies should go to the nearest Emergency Department.

No-Show and Late Fees

In order to provide maximum and efficient medical services to all patients, GSH Medical strictly enforces a fee for any no-show appointments, our fee is $30. This ensures that GSH Medical can provide quality, timely medical services to its patients as efficiently as possible. Due to the high volume of demand for medical services, we require 24 hour notice for all cancelled or rescheduled appointments. Late comers may be required to re-schedule their appointment for the same day or the next available appointment. Cancelled appointments without sufficient notice are subject to a no-show fee of $30.

Urgent Appointments:

GSH Medical accepts patients on a walk-in by appointment basis for urgent medical needs. All patients without appointments are requested to make the next available appointment with the front desk. This ensures that all patients can be seen at their scheduled time with little to no wait time.

All walk-in appointments must be pre-booked in person or over the phone. Walk-in patients are required to provide a valid OHIP card and should arrive 10 minutes before their appointment to fill out forms if it is their first visit with the medical doctor.

Registration | Family Practice

Patients must bring and present a valid OHIP card to all visits. The government will not cover medical services for anyone without a valid health card. A fee for a regular medical visit for non-OHIP patients must be paid prior to seeing the doctor. If your health card is expired you will be asked to pay $75 prior to seeing the doctor, if you renew your health card within 60 days your $75 will be fully refunded. Official receipts are provided.

Scheduling and Office Appointments | Family Practice and Multi-disciplinary services

Regular visits 10 minutes *

Annual complete preventative physical 30 minutes **

*If a patient has a problem that will require a long visit, the front desk must be informed at the time of booking. This will allow us to book your visit accordingly.

**If this is your first visit to our office please arrive 10 minutes early for your first appointment, initially you will be asked to fill out several forms. You will only be required to fill out these forms once, unless otherwise specified by the doctor. This will allow us to see you on time as per your scheduled appointment.

Phone Calls or Email

** Phone Calls and Emails with your doctor are not a service that is covered under OHIP** There is a $25 fee per call or email, if you have questions or require more information please contact our office 416-789-2449.

Our office staff is pleased to communicate with our patients by phone or email. It is at your doctor’s discretion whether they choose to communicate medical information with you by email or phone. Dr. Patel may choose to communicate with his FHO patients by email, prior to any communication you must read, and agree to the terms and conditions outlined in our email/phone policy section through this website. Dr. Gradinger may choose to communicate with her FHO patients by phone, if you wish to speak with Dr. Gradinger please call our office and we will try to arrange a call back. We cannot make any guarantees as to when and if you will receive a call back. Please note all email and phone communication is at the doctors discretion, our doctors are not in any way obligated to communicate with you by phone or email.Phone and or Email communication is not a substitute to an in person visit with your doctor. Patients are encouraged to take advantage of our online appointment booking system.

Laboratory Tests |Investigations| Referrals

Most test results will arrive to our office 5 business days after being performed. They will arrive directly to the physician who ordered them. Therefore, other physicians may not be immediately aware of a patient’s test results. If there are any abnormalities, we will call the patient to arrange a follow-up appointment. Patients are requested to book a follow-up appointment with the same physician who ordered them. Occasionally, despite our best efforts, delays can happen and results do not arrive on time. If patients are concerned, curious or still having symptoms, please contact our office.

Any referrals that are made by our office are processed on the same day. The doctor’s office that you were referred to will contact you with your appointment date. Please allow sufficient time for your referral to be processed, if you have not been contacted by anyone in 2-3 weeks please call our office.

Prescription Refills

We are able to offer phone or fax repeats on some prescriptions, prescription refills by fax or phone are on a case by case basis. All prescription refills are at the doctor’s discretion. **Please note fax or phone refills are not covered by OHIP there is a $25 fee for each refill done by fax or phone.

Uninsured Services

Not all services are insured by OHIP. Occasionally a patient may require a service that is uninsured. Examples of uninsured services are sick notes, over the phone prescription refills, insurance forms, employment physicals, tray fees for procedures, etc. Forms take time to fill and thus reduce the doctor’s ability to provide care to patients. We will always inform patients in advance of such charges and offer several convenient forms of payment. All charges for uninsured services must be settled at point of service.Our office is now offering patients the option to pay for a number of uninsured services by way of Block Fee, for more information please visit uninsured services page.

 

Email Policies

Physician-Patient Email Communication Disclaimer

We are now able to offer the use of email for confirming appointments, additionally physicians may choose to communicate with patients via email if appropriate. Electronic communications offer many benefits, but require safeguards that differ from other forms of communication, such as paper document, telephone and fax. Our office staff and physicians use reasonable means to protect the security and confidentiality of email information sent and received.However, because of the risks identified below, we cannot guarantee the security and confidentiality of email communication. Please read below.

*EMERGENCY PROBLEMS

Email should never be used for emergency problems. In the event of an emergency, call 911 or go to the nearest Hospital Emergency Room.

*URGENT PROBLEMS

Email should never be used for urgent problems. In these cases, the patient should call our office at 416-789-2449 or go to an Emergency Room.

*SENSITIVE MEDICAL INFORMATION

Email should be concise. If the patient has a problem that is too complex or sensitive to discuss via email, the patient should make an appointment by calling our office at 416-789-2449.

*Risks associated with using email

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.
  • Emails can introduce viruses into a computer system, and potentially damage or disrupt the computer.
  • Email can be forwarded, intercepted, circulated, stored or even changed without the knowledge or permission of the physician or the patient. Email senders can easily misaddress an email, resulting in it being sent to many unintended and unknown recipients.
  • 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.

Consent to the use of email includes agreement with the following conditions:

1. PATIENT OBLIGATIONS WHEN CONSENTING TO EMAIL

  • The patient shall not use email for medical emergencies, urgent problems or other time sensitive matters.
  • If the patient’s email requires or invites a response from the staff or physicians, 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.
  • All emails to or from the patient concerning diagnosis or treatment will be imported into and made part of the patient’s electronic medical record. Because they are part of the medical record, other individuals authorized to access the medical record, such as secretarial staff, nurses and billing personnel, will have access to those emails.
  • Medical staff may forward emails internally to members of the Physician’s staff if necessary for diagnosis, treatment, reimbursement, and other handling. Staff will not, however, forward emails to independent third parties without the patient’s prior written consent, except as authorized or required by law.
  • The patient should not use email for communication regarding sensitive medical information, such as information regarding sexually transmitted diseases, AIDS/HIV, mental health, developmental disability, or substance abuse.
  • The patient is responsible for informing Provider of any types of information the patient does not want to be sent by email, in addition to those set out above.

Conditions of using email

The physician will use reasonable means to protect the security and confidentiality of email information sent and 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 to or from the patient concerning diagnosis or treatment may be printed in full and 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 endeavor 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 physician is not responsible for information loss due to technical failures.

Instructions for communication by email

  • Limit or avoid using an employer’s computer.
  • Inform the physician of any changes in patient’s email address.
  • Include in the email: the category of the communication in the email’s subject line, for routing purposes (e.g., ‘prescription renewal’); and the name of the patient in the body of the email.
  • Review the email to make sure it is clear and that all relevant information is provided before sending to the physician.
  • Inform the physician that the patient received the email.
  • 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 the physician’s office or take other measures as appropriate (such as going to the nearest emergency department.

Patient acknowledgement and agreement

I acknowledge that I have read and fully understand the Physician-Patient Email Communication consent form. I understand the risks associated with the communication of email between the Physician and me, and consent to the conditions outline herein, as well as any other instructions that the Physician may impose to communicate with patients by email. I acknowledge the Physician’s right to, upon the provision of written notice, withdraw the option of communicating through email.Any questions I may have had were answered.

First Name:
Last Name:
Date of Birth:
Email:
Information the Patient Does Not Want Communicated via Email:
Today's Date:

I have read the email disclaimer and agree to the conditions listed above

Yes, I agreeNo, I do not agree