Would you like us to follow up with you about the complaint?
Please include your contact information so that we can set up a telephone conversation:
If you do not hear back from us within 3 business days, please contact our Crisis and Referral Centre at 1-800-268-7708, or 1-800-567-5803 (digital service for individuals who are deaf or hard of hearing).
The personal information you provide to Health Canada will be used by Employee Assistance Services under the authority of section 4(2)(f) of the Department of Health Act and handled according to the Privacy Act.
Your personal information, in the form of contact information and views/opinions, is being collected in order to contact you to respond to your compliments, comments or complaints. The views and opinions expressed may also be used to improve our products and services.
Note: Information transmitted using this form isn't secure. Do not include sensitive personal information, such as your Social Insurance Number, in your message. In addition, don't include details that may identify another individual.
We will share your information with the relevant program to:
In limited and specific circumstances, the law permits or requires disclosure to appropriate authorities to:
You don't have to provide your personal information. It's voluntary. There are no consequences if you choose not to do so.
You have the right to access and request a correction and/or notation to your personal information. You also have a right to complain to the Privacy Commissioner of Canada if you feel we have handled your personal information improperly. For more information about these rights, or about how we handle your personal information, please contact eas-sae@hc-sc.gc.ca.
Refer to the personal information bank Employee Assistance Services - HC PCU 705 in Info Source, for a description of how your personal information is collected and used.
