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A template asking your healthcare team for COVID-19 protections

The following is not legal advice. It is simply an example of a letter that may be used to ask for accommodations.

The form is not a guarantee that the request will be granted.

Please consult a lawyer or legal clinic for advice about your particular situation.

Some clinics that may be able to assist you, include those listed on this site: http://www.bchrt.bc.ca/whocanhelp/index.htm

A fillable PDF version of the below can be accessed here.

Date: ______________________________

Dear (clinic or administrator),

My name is __________________________________ and I have a ______________________________ procedure scheduled on _____________ at _______ am/pm in the _____________________________________ department/clinic.

I have risk factors for severe COVID-19 disease as recognized by the Government of Canada. https://www.canada.ca/en/public-health/services/publications/diseases-conditions/people-high-risk-for-severe-illness-covid-19.html

I respectfully request the following accommodations, which can be provided without undue hardship, to ensure that I have meaningful access to my medical services without adverse impact on my health, as protected by the B.C. Human Rights Code:

1. All health care workers in my presence and those providing care to me must at all times be masked in N95 respirators or elastomeric respirators;

2. I will be permitted to wear an N95 respirator or elastomeric respirator of my choosing in the hospital/clinic (as applicable);

3. I will be permitted to monitor the ventilation in the room and to bring and use standalone True HEPA filters to filter the air.

4. Health care workers and others providing care to me will refrain from the use of harassing or discriminatory speech directed at me and will not make complaints about the necessity of wearing a mask in my presence.

Add any other accommodations required below:

Please confirm in writing by _____date_____ that you will make arrangements for these accommodations for me.

Thank you in advance for your anticipated cooperation.


Archived Briefings from Protect Our Province BC

A Protect Our Province BC panel discussion about how we as a community, can pull together to create a safer learning environment for kids when school starts again in September! We can avoid another ‘tripledemic’ if we work together! Ready for Fall 2023? Briefing video:
“COVID-19 vaccination is safe during pregnancy and may protect newborns from infection, especially if vaccines are given in the second or third trimester. This is similar to what we are already doing with other maternal vaccines, including TDaP and seasonal influenza.” – Dr. Eastabrook
“If we had an epidemic of people with broken limbs and we saw people in plasters and crutches, it would be more evident. But there is a lot of disability that is happening, which is a hidden disability often, which is why we need to talk about it more, for people to understand what the consequences are. And that will help to make better decisions.” - Lynette

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