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Training Confirmation
Course:
CONNECTINGONTARIO
First Name
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Last Name
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Middle Name
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Please select your NYGH hospital role
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Allied Health
Clerk
Doctor
Medical Learner
Midwife
Nurse
Nurse Practitioner
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Allied Health – Please Specify
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Student – Please Specify
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Professional Registration Number e.g. CPSO#
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PowerChart Username
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Email
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Phone
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Preferred Mode of Communication
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Date Completed
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Attach (Certificate of Completion from the Privacy Module):
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I certify that I have completed the modules outlined in the ConnectingOntario Training Package and therefore have the skills necessary to access patient information through the ConnectingOntario ClinicalViewer. I also fully understand my Security and Confidentiality obligations, and the implications of non-compliance, when looking at patient information.
