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Email Consent

Share your email with us!

You may receive:

Please review the following email policy and submit consent below.

Patient Consent for Email Communication

Your care provider can communicate with you using email but you will need to understand the risks of using email:

Please note:

This consent form lets us know when we may use email to communicate with you or others who are outside the hospital.  

If at anytime you decide that you no longer want to communicate by email, please tell your care provider as soon as possible.  Your care provider will do the same. 

Please note: it may take 2-3 business days to update your file

Email SPAM Filters: we have heard from many patients that our emails do get caught in SPAM filters, please check your junk mail for emails from us -and make us a safe sender. 

We encourage you to sign up for UHN MyPortal.  

Your Details


Name:
 
Date of Birth:
Parent/Guardian:
OHIP #:
Email:
Confirm email:
 
Phone Number:
 
Message:
 
By completing the above form and submitting to the Toronto Western Family Health Team you have read the above information about using email communication and accept the risks of using email communication.