nurse with patient looking at materials

Requesting Access to Information

All requests must be made in writing by completing an Access Request Form.


If you are making a request for general information, there will be an initial fee of $5. If the total cost of processing your request exceeds $100, you will be provided with a fee estimate before processing begins and you will be required to pay a deposit of 50% of the total processing costs before the hospital begins to process your request. For further information on fees and costs please refer to the Fee Schedule.


Please send your request to:


Carleton Place District and Memorial Hospital

Freedom of Information and Privacy

211 Lake Avenue East

Carleton Place, Ontario K7C 2J4

Attention: Freedom of Information and Privacy Coordinator


If you have further questions regarding CPDMH’s Freedom of Information Program, or require further assistance with filing a Freedom of Information request, please contact the FOI and Privacy Office:


Phone: 613-253-3812

Email: foi@cpdmh.ca

Fax: 613-257-3026


Appeal Procedure to the Information and Privacy Commissioner of Ontario

Under the Act, you may appeal any hospital decision regarding access or correction to Ontario’s Information and Privacy Commissioner within 30 days from the date of receipt of the letter denying your request. Make your appeal by writing to:


Information and Privacy Commissioner/Ontario

2 Bloor Street East, Suite 1400

Toronto, Ontario M4W 1A8


Please provide the Commissioner’s office with:


  • Your name, address and telephone number.

  • The Access Request Number (case file #) assigned to your request by The Carleton Place and District Memorial Hospital.

  • A copy of the original request for information that was sent to The Carleton Place and District Memorial Hospital.

  • The reasons for your appeal

The appeal must be accompanied by the appropriate fee. Fees vary according to the nature of the request being appealed as follows:


  • $25, if the person appealing has made a request for access to a general record under subsection 24 (1) of the Act.

  • $10, if the person appealing has made a request for access to personal information under subsection 48 (1) of the Act.

Proactive Disclosure

The hospital proactively discloses large amounts of information available to the public on the hospital’s website. If you are unable to find the information you are looking for on the hospital’s website, it is recommended that you contact the FOI and Privacy Coordinator before making a formal request under the Act. An informal request will likely prove to be both faster and more cost-effective than going through the formal request process under the Act.


Directory of Records and Personal Information Banks

Please see CPDMH’s Directory of Records and Personal Information Banks for information on the types of records held by CPDMH. Please note that some or all of these records may fall under the protection of privacy rules as stated in law.