Privacy Notification and Consent
Thompson Rivers University (TRU) collects, uses, discloses and retains personal information in compliance with the BC Freedom of Information and Protection of Privacy Act (the FIPPA).
Your personal information is being collected and will be used for the purposes of your medical assessment and treatment, to administrate your medical care, and communicate with you.
The TRU Medical Clinic collects the following personal information about you: identification, contact information, student number, health information, emergency contact details, gender identity, healthcare number, date of birth, billing information, and if you are an international student your home country. The collection of this information is permitted under section 26(c) of the FIPPA, and will be retain in accordance with TRU’s Records Retention/Destruction Policy.
Under section 33.1 (1)(b) of the FIPPA, TRU may disclose relevant personal information to third parties to provide medical referrals to other health care professionals, and facilitate direct billing with your medical insurance provider. As required under this section of the FIPPA, by signing this form you are consenting to the disclosure of your personal information for these purposes.
For further information about this privacy notice and consent, please contact the Medical Office Assistant at the TRU Medical Clinic, by calling 250-828-5126, or by mail at: 805 TRU Way, Kamloops, BC V2C 0C8. Alternatively you may contact the Privacy Office at email@example.com. This form will be retained as part of your medical file.