Ontario drug program (ODB) recipients who do not want their drug claims history disclosed to an emergency department may withdraw their consent.

Before doing this, ODB recipients are encouraged to consult with a healthcare provider about the benefits of disclosure and the potential health risks of withdrawing consent.

A decision to withdraw consent will not affect your eligibility to receive Ontario Drug Benefit Program or Trillium Drug Program benefits or any other health care service funded by the Province of Ontario.

You can contact the Ministry's Drug Programs Branch Help Desk toll-free if you have any questions at 1-866-752-6405 (TTY: 1-800-387-5559).

Forms are available by downloading from this page or by calling the Ministry's Drug Programs Branch Help Desk at 1-866-752-6405 (TTY: 1-800-387-5559).

This can be done by submitting a Full Withdrawal of Consent Form to the Ministry.

ODB recipients can also identify specific drugs they wish not to be disclosed. This can be done by submitting a Partial Withdrawal of Consent Form to the Ministry. This means that the Ministry will not disclose information about those medications which have been identified on the form.

If you change your mind about the list of drugs you do not wish to be disclosed, you will need to resubmit a new list of drugs and another Partial Withdrawal of Consent Form.

You will need to submit a Consent Reinstatement Form to the Ministry.

Consent can also be temporarily reinstated during your visit to an emergency department

Forms should be mailed or faxed to :

MOHLTC, INFOline
900 Bay Street
MacDonald Block
Suite M-1B114
Toronto, Ontario
M7A 1N3
 
Fax: 416-314-8721

June, 2005