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      • A health information custodian is ultimately responsible for the personal health information in his or her custody or control, but may permit an agent to collect, use, disclose, retain or dispose of the information if certain requirements are met.
      cocoo.on.ca/publications-resources/phipa-personal-health-information-protection-act/
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  2. The Act does not apply to all personal health information, but only that which is collected, used and disclosed by health information custodians. The Act also applies to the use and disclosure of personal health information by those persons who receive personal health information from health information custodians. For example, recipients may ...

  3. to collect, use or disclose personal health information for the provision of health care if the following conditions are met: • the information was received from the individual, the individual’s substitute decision-maker or another health information custodian;

  4. A prescribed entity is permitted to disclose personal health information to a prescribed person who compiles or maintains a registry of personal health information, and to another prescribed entity for purposes related to the planning, management and analysis of the health system.

  5. Disclosure of Personal Health Information by Custodians A custodian cannot disclose personal health information to a non-custodian, including the non-custodian for whom the custodian is working, unless: • the individual whose personal health information is at issue has given express consent; • the disclosure is permitted or required by ...

  6. Express consent is required where personal health information is disclosed to a person who is not a health information custodian (such as an insurance company) or it is not disclosed for the purpose of providing health care.

  7. Restrictions of information collected. 21 (1) Personal health information must not be collected into a health information bank or used in a health information bank for any purpose or in any manner other than in accordance with the designation order in respect of the health information bank.

  8. These principles are reflected in the Personal Health Information Protection Act, 2004 (PHIPA), which sets out a framework for when health information custodians and their agents, including physicians, are authorized to collect, use, and disclose PHI.