Requesting Records
Linck provides access to information and disclosure to records pursuant to the Child, Youth and Family Services Act, the Access to Adoption Records Act and the Personal Health Information Protection Act.
For assistance in completing the request forms or if you have any questions, please contact:
For Child Protection and Adoption requests: Intake Screener
For Mental Health and Developmental Service requests: Mental Health & Developmental Intake Worker
Facsimile: 519-352-4152
Phone: 519-352-0440
Access to Information/Disclosure – Child Protection Services
If you are currently receiving child protection services from Linck or have in the past, and would like access to your personal information, please fill out our Access/Request for Records form.
You must attach one copy of valid government issued photo identification along with your request.
Please note, the written consent of any person age 16 years and older is required to release their information and must be included with your request. They can complete the Consent to Disclose Information form and you can attach it to your request.
A person with custody of a child under the age of 16 may request personal information of that child, subject to some exceptions. In some circumstances, you may be asked to provide documents confirming your authority to make the request in place of the child.
If you have any questions, or require assistance, please contact the Intake Screener by calling 519-352-0440.
If you prefer to download and print the form you can access it here: Access/Request for Records Form
Request for Records – Mental Health & Developmental Services
If you are currently receiving mental health or developmental services from Linck or have in the past, and would like access to your personal information, please fill out our Access/Request for Records form.
You must attach one copy of valid government issued photo identification along with your request.
Please note, the written consent of any person age 16 years and older is required to release their information and must be included with your request. They can complete the Consent to Disclose Information form and you can attach it to your request.
A person with custody of a child under the age of 16 may request personal information of that child, subject to some exceptions. In some circumstances, you may be asked to provide documents confirming your authority to make the request in place of the child.
If you have any questions, or require assistance, please contact the Mental Health & Developmental Intake Worker by calling 519-352-0440.
If you prefer to download and print the form you can access it here: Access/Request for Records Form
Adoption Disclosure
If you were adopted or related to someone who was adopted through Linck and you would like to request non-identifying information, please fill out the Adoption Disclosure form.
If you are a descendant of an adult adoptee who is deceased, a copy of the death certificate will be required. You must attach one copy of valid government issued photo identification along with your request.
For copies of birth registration and adoption orders for all adoptees, you must apply to the Ministry of Community and Social Services at Service Ontario or toll free at 1-800-461-2156.
