How to Request Information from NB HEALTH LINK
If you would like to know how your information is collected, used and disclosed by NB HEALTH LINK, please view our Privacy Statement.
If you would like to request information or submit a request for correction to information, please see below and complete and submit the appropriate form. All requests will be processed in accordance with the Right to Information and Protection of Privacy Act and the Personal Health Information Privacy and Access Act as applicable. The Acts are available on the Government of New Brunswick website.
If you have any questions please do not hesitate to contact NB HEALTH LINK’s Privacy & Information Access Officer at 506-872-6594.
Right to Information Request Form
Complete this form if you are requesting:
- General information, data or other records under the Right to Information and Protection of Privacy Act that you believe would be under the custody or control of NB HEALTH LINK.
Request for Access to Personal Health Information
Complete this form if you are requesting:
- A copy of your own personal health information that was collected by NB HEALTH LINK, or
- A copy of someone else’s personal health information that was collected by NB HEALTH LINK*
*Note – you will need to fill out a Substitute Decision-Maker Declaration form (below), have the individual whose information you are requesting complete an Authorization to Release form (below), or provide other proof that you are legally permitted to receive a copy of the person’s information.
Request for Investigations
Complete this form if you are requesting information as part of an investigation (law enforcement, family/social services, WorkSafeNB, etc.)
Request for Correction
Complete this form if you would like to request a correction to a record of personal information or personal health information held by NB HEALTH LINK.*
*Note – if the information that you are requesting to correct is not your own, you will need to fill out a Substitute Decision-Maker Declaration form or provide other proof that you are legally permitted to request a correction of the other person’s information.
Substitute Decision-Maker Declaration
Complete this form if you are acting on behalf of a person who is incapable of consenting to the collection, use or disclosure of their personal health information and are permitted to do so as described in the Personal Health Information Privacy and Access Act.
Authorization to Release Information
Complete this form if you wish to authorize the disclosure of your information to another individual; or Have the applicable patient/individual complete it if you wish for them to authorize their information be released to you.
Template Letter for Coroners
Complete the applicable sections in the attached letter if you are a Coroner investigating a death in New Brunswick.
Completing and Submitting Forms
If desired, you may complete most of the form on your computer, but for any request involving personal information or personal health information the form must be printed and signed prior to being submitted.
Requests for General Information about NB HEALTH LINK (Right to Information Requests) and Requests for Personal Health Information (or corrections thereto) related to NB Health Link
Via facsimile to (506) 872-6509
Via e-mail/scan to e-mail to rti@medavienb.ca
Via regular mail or in person:
Attn: Privacy & Information Access Officer
210 John St., Suite 101
Moncton, N.B.
E1C 0B8