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Dispensing with Privacy: Court Orders Spouse to Produce Medical Records

Published: October 9, 2018

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Dispensing with Privacy: Court Orders Spouse to Produce Medical Records

An Ontario court recently considered if the father of a young child had a right to privacy or whether he should be compelled to produce the medical records in relation to his alcohol dependency and mental health issues.

What Happened?

The parties met in September 2014. They cohabited from October 2016 to January 2017, when their relationship ended. The parties had one child, who was born in late 2015.

The father was an alcoholic and had long-standing substance abuse problems. As a result, the mother had assumed primary care and responsibility for the child since her birth (the father had sporadic access).

In April 2017, the mother agreed to a shared parenting plan with the father because the father had been sober since October 2016.

In June 2017, the father grabbed the child out of the mother’s arms and refused to return her to the mother. The mother’s lawyer subsequently sent the father a letter indicating that he could only have access to the child if he agreed not to consume alcohol or drugs before or during access visits, among other things.

The father did not deny his alcohol dependency or that it had affected his ability to care for the parties’ child. However, he stated that he had received regular treatment for 20 years in various ways, including attending weekly sessions with a psychiatrist, Dr. S, since 2011. The father also maintained that the status quo had been in existence for almost one full year, during which the mother had depended on him to care for the child about one-half of the time.

The mother brought a motion for an order requiring the father to produce his medical records related to his alcohol dependency and mental health issues. Specifically, the mother requested copies of the records from Dr. S, as well as any other medical, psychiatric or health professional, and from any hospital and treatment facility in relation to the father’s mental health and/or alcohol dependency issues from January 1, 2015 to date.

The Legal Principles Regarding Disclosure of Documents

The court began by explaining that the Family Law Rules require a party to an application to provide to another party any document relevant to any issue that is in their control or available to them. The exception to this rule is if the document is privileged and therefore protected from disclosure.

The court also indicated that an order for disclosure must be fair and appropriate. The court noted that:

Consideration must be given to the burden of the requested disclosure on the disclosing party, the relevance of the requested disclosure to the issues raised by the Application and the cost and time required to provide disclosure as compared to its importance.

 

The Court’s Decision

In granting the mother’s motion for production, the court first explained that the records the mother sought were relevant because the father’s mental health and alcohol dependency were central concerns raised in the application regarding custody and access of the child.

The court went on to find that the documents were protected by privilege, as:

  • the communications originated in a confidence;
  • the confidence was essential to the relationship in which the communication arose; and
  • the relationship was one that ought to be “sedulously fostered” in the public good.

The court concluded, however, that the interests served by protecting the communications from disclosure did not outweigh the interest in getting at the truth and disposing of the litigation correctly. It noted that the father had already disclosed some of the communications from Dr. S, which reflected his willingness to put his privacy concerns second to his child’s interests of having information to assess the appropriate terms for custody and access. The court also pointed to the fact that the father had authorized the release of his information to the Office of the Children’s Lawyer (OCL), which supported the view that the interests of getting information regarding his mental health and alcohol dependency issues outweighed his privacy concerns.

Finally, the court found that the scope of the disclosure was fair and appropriate, as long as the medical records disclosed to the mother were limited only to records related to the father’s mental health and alcohol dependency issues (including any medical records referenced in the report prepared for the OCL). The mother and her counsel were prohibited from sharing or communicating any information pertaining to the father’s records with any person, other than for the purpose of the parties’ litigation.

Lessons Learned

When it comes to assessing the best interests of a child in relation to custody and access, in the court’s eyes, a parent’s privacy concerns take a back seat.

If you have questions about your separation or divorce, contact Gelman & Associates. Our lawyers – who are knowledgeable and compassionate, but also tough when necessary – provide exceptional legal representation in all family law matters. Our goal is to always empower clients to make informed decisions about their future. We give all prospective clients a comprehensive family law kit during their initial consultation, as well as a copy of our firm’s handbook on separation and divorce. This information is full of resources that will help you understand and navigate the difficult and often complicated separation and divorce process.

With six offices throughout Aurora, Barrie, Downtown Toronto, Mississauga, North York and Scarborough, we are easily accessible by transit and off-highway. Our phone lines are open Monday to Friday from 8:00 a.m. to 8:00 p.m. Call us at (416) 736-0200 or 1-844-736-0200, or contact us online for an initial consultation.

Written by Lisa Gelman

Senior Lawyer

Senior Lawyer Lisa Gelman has over 25 years of family law experience and founded Gelman & Associates to provide strategic legal counsel in family law matters concerning divorce, parenting, separation, and more.

Frequently Asked Questions - enforcement & modification orders

A restraining order in the context of family court is an order that prohibits the contact that one party can have with another. Based on the particulars of a given restraining order, it can prohibit direct and/or indirect contact, and require that the party against whom the restraining order has been taken out maintain a certain physical distance from the other party. In the family law context, a restraining order has to be requested by way of a motion brought at the court. The party seeking the order must provide affidavit evidence to substantiate the need for the restraining order. The party against whom the order is sought must likewise have an opportunity to argue his/her case, and to this end judges will usually ask that a motion for a restraining order be brought with notice to the other party.

If you believe that your restraining order is required immediately, you may bring an urgent, ex parte motion for same (ex parte means that the motion is brought without notice to the other party, who is not served with your motion materials and is not given notice that the motion will even be taking place). Because restraining orders can affect possession of the matrimonial home and parenting time, it is imperative that the party against whom the order is sought have the opportunity to make his or her own case. Accordingly, if a judge grants a restraining order brought on an urgent, ex parte motion, the judge will also order that the motion return in one week’s time so that the party against  whom the order has been granted may be  properly served with motions materials and  have an opportunity to defend the action.

Suppose one of the parents does not follow the court’s order. He or she may be called to court and explain why she wasn’t able to uphold the initial agreement. If his or her reason isn’t valid, the court may change the earlier deal, and it may favor the other parent.

Each province and territory in Canada has a maintenance enforcement program for family orders and agreements. Additionally, the federal government may refuse to issue a Canadian passport if the applicant is delinquent in child support payments. They also have the authority to garnish wages for the back payments owed. In the USA, the Office of Child Support Enforcement, which is part of the Administration for Children and Families in the Department of Health and Human Services, is now in charge of the federal child support enforcement program.

Ex parte motions provide an exemption to the principles of due process in emergencies by allowing you to petition the court without having to give notice or serve the other parties in your case. If the judge issues the ex parte order, it’s only for a limited time.

Yes, it is possible to change the initial terms of a separation agreement if you and your spouse agree to the changes and sign a written agreement to change the terms. If your spouse does not agree to change the terms, you can make a court application to change the separation agreement.

No matter what the circumstances surrounding your separation agreement are, our Toronto separation lawyers can help you make changes when you need to.

You can use this motion if you need to change your order. By filing this motion, you’re asking the court to change something in your final order. It would help if you showed that there has been a substantial change in circumstances since the last court order. You can’t file this motion just because you disagree with the order. You shouldn’t also file this motion too soon after the court releases the final order. If things have changed in your children’s lives, you can ask to modify the order based on those changes. Other samples you can change may include but not be limited to:

  • Spousal support
  • Decision-making issues for the children
  • Issues related to parenting time
  • Child support

If you deny court-approved parenting time, it could be a possibility. The court may find you in contempt. You may also have to compensate the other person for any lost parenting time or legal fees they had to pay to enforce the parenting arrangement.

If you get an order and want to change it, you first need to assess your relationship with the opposing party.
If you both agree, you can apply for a consent order and need not go to court. If you do not, you may seek help from mediators or counsellors who can help you talk things out. If you still do not agree after mediation, you will need to apply to the court to change the order.

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