Voluntary Self Identification for Indigenous Patients

The Thunder Bay Regional Health Sciences Centre has implemented a voluntary self-identification process for Indigenous patients. All patients coming into the hospital upon registration will be asked the question “Would you like to self-identify as Indigenous?” Patients can also self-identify using the web-form below.

Would you like to self-identify as Indigenous?

(First Nation, Métis, Inuit)

Why Self-Identify?

Everyone’s health is important. To better serve the Indigenous population in Northwestern Ontario, we have developed the self-identification process to better understand who our patients are and how we can do things differently.

The goals of this process are:

Benefits to Patients:

Who can Self-Identify?

All people with Indigenous ancestry are encouraged to self-identify. Indigenous identity is defined in the Canadian Constitution Act (1982), S. 35 (2)

refers to Canada’s original people and includes:

Status: the legal status of a person who is registered as an Indian under the Indian Act.

Non-Status: refers to people who identify as Indians but who are not entitled to Indian Registration under the Indian Act.

Métis: refers to people of mixed Indigenous and European ancestry.

Inuit: refers to Canada’s original people whose homeland is the Canadian Arctic that includes portions of the three Territories: Yukon, Northwest Territories, and Nunavut, in addition to Northern Quebec and Northern Labrador.

What happens to my information?

This information will become a part of your electronic medical record.

We use and disclose your personal health information to:

At Thunder Bay Regional Health Sciences Centre your health information is treated with respect and sensitivity and your privacy is protected. We are committed to protecting the privacy, confidentiality, and security of all personal health information.

Who sees my information?

This information is accessible to your health care team and others in accordance with the Personal Health Information Protection Act.

How do I self-identify

Simply fill out the Voluntary Self-Identification declaration form below.



  • Or -

If you do not have an email address or telephone number, but would still like to self-identify with the hospital - please call 684-6640 (Health Records) and we will be happy to assist you.

If you have already chosen to self-identify with us but would like to change your information, please call 684-6640 (Health Records) and we will be happy to assist you.