Formal Complaint Form
Purpose of this form
Use this form to make a complaint about the Health Unit. We want to hear about issues with our processes, staff, operations, or concerns of racism and/or discrimination so we can do better. Other feedback options are also listed below.
This form is not for urgent health concerns. If you need urgent health care, please go to the nearest emergency department or dial 911.
If you have a general question, please use our contact options.
If you would like to report a potential food safety hazard about a facility in our service area, fill out the Food Safety Complaint or Concern Form.
If you would like to report an accessibility issue at the Health Unit, fill out the Client Accessibility Feedback Form.
Confidentiality and Privacy
We will use your information to look into your complaint, reply to you, and improve our services.
We will protect your personal information as the law requires. *
*This information is being collected pursuant to the Health Protection and Promotion Act, R.S.O. 1990, c.H.7 and will be retained, used, disclosed, and disposed of in accordance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, the Personal Health Information Protection Act, 2004, S.O.c.3 and all applicable federal and provincial legislation and regulations governing the collection, retention, use, disclosure, and disposal of information. Any questions regarding this collection may be directed to the Personal Health Information Lead at the North Bay Parry Sound District Health Unit, 345 Oak Street West, North Bay, ON P1B 2T2, 705-474-1400 / 1-800-563-2808 or at privacy@healthunit.ca.
Declaration and Consent
Declaration
I confirm that the information I am providing is true.
Consent
I understand that the Health Unit may share my information with staff or leaders so they can review it and respond.
I agree to the declaration and consent by submitting this form.
