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Page 1: Equestrian Veterinary Guide - FEI.org Vet Guide (Revised).pdf · Upon arrival at OLG Caledon Pan Am Equestrian Park, all horses must undergo a tick examination (see Annex 2) following

Equestrian Veterinary Guide

Page 2: Equestrian Veterinary Guide - FEI.org Vet Guide (Revised).pdf · Upon arrival at OLG Caledon Pan Am Equestrian Park, all horses must undergo a tick examination (see Annex 2) following

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Introduction This Veterinary Guide provides concise information about the provision of key veterinary services during the TORONTO 2015 Pan Am Games. It summarizes the staff, services and facilities that will be available during the Games in order to ensure that the best possible support is provided to all competitors and horses. In order for team members to have the appropriate event accreditation, it is essential that all teams, especially team veterinarians, familiarize themselves with the information contained within this guide, and that they provide contact details to the Fédération Equestre Internationale (FEI) veterinary department through their respective National Federation. Any update or changes to this guide will be posted on the notice board in the reception area of the veterinary treatment area once the Games start. For questions about information contained in this guide or how it may affect you or your team, please contact Dr. Mike Pownall, Veterinary Services Manager, TORONTO 2015 Pan Am/Parapan Am Games Organizing Committee (TO2015) at 519.826.1770 or by email at [email protected]. Dr. Mike Pownall Veterinary Services Manager, TO2015

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Table of Contents

Key Dates 3 Key Personnel 4 Key Information 4

FEI Regulations 4 Importing Drugs into Canada 5 Biosecurity 6 Veterinary Examinations — Tick Examination and Treatment 6

Protocol Pre-arrival documentation 6 Arrival examination 7

Piroplasmosis-positive horses 7 Doping and Medication Controls for Horses 8 Treating Veterinarians 8 Licensing of Non-Ontario Veterinarians 8 Registration of Team Veterinarians and Paraprofessionals 9

Veterinary Facilities 9 Veterinary Charges 10 Routine and Emergency Services 11 Clinical Pathology Services 11 Dispensary 12 Necropsy 12

Annex 1 TORONTO 2015 Tick Treatment Confirmation Form 13 Annex 2 Ectoparasite Examination Procedure 14 Health Canada Forms: Appendix A Exemption Application for Importation 16

Appendix B Controlled Substance and/or Precursor Chemical 17 Product List

Appendix C Human Drug and Natural Health Product List 18 Appendix D Medical Device List 19 Appendix E Whole Blood – Blood Component for Transfusion 20 and Blood Product (Biological Drug) List Appendix F Drug for Veterinary Use List 21 Appendix G Privacy Notice Statement 22

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Key Dates

Equestrian Schedule

Dates Competition Other Activity

July 6

Venue and veterinary services area opens; training

begins

Arrival of dressage horses

July 9 Dressage horse inspection

July 10 Pan Am Games Opening

Ceremony

July 11 Dressage — team and individual qualifier

July 12 Dressage — team final and individual qualifier Arrival of eventing horses

July 14 Dressage — freestyle finals

July 15 Departure of dressage

horses

July 16 Arrival of jumping horses

First eventing horse inspection

July 17 Eventing (dressage)

July 18 Eventing (cross-country)

July 19 Eventing (jumping)

First jumping horse inspection

2nd eventing horse inspection

July 20 Departure of eventing horses

July 21 1st individual qualifying competition

July 23 Team competition (2nd & 3rd individual

qualifying competition)

July 25 Individual final — first round

individual final 2nd horse inspection

July 26

Departure of jumping horses

Pan Am Games Closing Ceremony

July 27 Veterinary services area

closes

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Key Personnel

The FEI veterinary commission will be based in an office at the veterinary treatment area located in the main stable building, from the time of the arrival of the first horse and throughout the Games. Members of the veterinary commission will be available to offer advice and assistance, as required, at all times. The veterinary services manager will be managing the team of treatment veterinarians at the OLG Caledon Pan Am Equestrian Park. The equine anti-doping manager will be managing the doping control program at the Games.

Veterinary Officials

President, veterinary commission Dr. Yves Rossier CAN

Foreign veterinary delegate Dr. Duncan Peters USA

Assistant veterinarian Dr. Alan Manning CAN

Associate veterinarian Dr. Alexis Goncalvas BRA

FEI vet – limb sensitivity Dr. Tracy Turner USA

FEI vet – limb sensitivity Dr. Jack Snyder USA

Veterinary services manager Dr. Mike Pownall CAN

Equine anti-doping manager Dr. Melanie Barham CAN

Key Information

FEI Regulations All horses will be considered governed under the 2015 FEI Regulations from the time of their arrival at the venue. The relevant regulations may be downloaded from the following links:

Veterinary Regulations 2015 13th Edition 2014, effective 1 January 2015 at fei.org/fei/regulations/veterinary

Arrival and Departure of Horses

Discipline Horse Arrival Competition Dates Horses Depart

Dressage July 6 July 11–14 July 15

Eventing July 12 July 17–19 July 20

Jumping July 16 July 21–25 July 26

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FEI Equine Anti-Doping & Controlled Medication Regulations 2015, 2nd Edition, effective 1 January 2015 at fei.org/content/anti-doping-rules

Importing Drugs into Canada

Visitors to Canada may bring into Canada, on their person:

• A single course of treatment or a 90-day supply based on the directions for use, whichever is less, of a health product.

The health product must be for the individual’s own personal use, for the use of a person

for whom they are responsible and with whom they are travelling, or for use on an animal

for which they are responsible and with whom they are travelling.

The health product must be shipped/carried in one of the following:

• Hospital or pharmacy dispensed packaging.

• Original retail packaging.

The product must have the original label affixed to it, which clearly indicates what the health product is and what it contains.

Should a visitor’s stay in Canada exceed the supply of medication imported at the time of

their arrival in Canada, the visitor may import an additional single course of treatment or a

90-day supply based on the directions for use, whichever is less, of a health product. If a

health product is mailed to a visitor, the health product should be accompanied by some

form of documentation indicating that it is destined to a visitor and/or the visitor should be

prepared to provide documentation/written evidence (stamped passport, student/work visa,

letter from an employer/university etc.) that they are a visitor to Canada when requested.

Visitors are advised that the exporting country may also have additional restrictions on what may be exported to Canada, and are advised to check with their local authorities before leaving and to plan accordingly.

Visitors will be responsible for ensuring that any remaining health products they imported

into Canada but have not consumed during their stay are either safely disposed of or

exported from Canada by them when they leave the country.

For further information, please refer to the Policy for Health Products under the Food and

Drugs Act and its Regulations at:

hc-sc.gc.ca/dhp-mps/compli-conform/import-export/pol-0060_biu-uif-eng.php.

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For the TORONTO 2015 Pan Am Games, NOCs will be required to submit to Health Canada an Exemption Application Form for the Importation, Possession and Export of Controlled Substances and Precursor Chemicals as well as a Declaration of Importation of Therapeutic Products Form. Please see the Appendices in Annex 3. For more information, please contact: Dr. Mike Pownall Veterinary services manager, TO2015 Email: [email protected] Tel: 519.826.1770

Biosecurity Upon arrival at OLG Caledon Equestrian Park, each horse will be examined before entry into the stables. Following the initial biosecurity examinations, the horses will be required to have their rectal temperature taken twice a day (morning and evening). This exam will be the responsibility of the relevant team veterinarian. If there is no team veterinarian available, members of the veterinary services team will visit the stables twice a day to collect the rectal temperature values for each horse. A document for each horse will be placed on the door of the stable to notify of this information. The team veterinarian will be required to come to the veterinary treatment area once per day to sign the rectal temperature form. The veterinary services team will be available at all times to provide advice and assistance.

Veterinary Examinations — Tick Examination and Treatment Protocol Pre-arrival documentation All horses must have been treated with an acaricide (tick treatment) within seven days of their entry to OLG Caledon Pan Am Equestrian Park. Exception: Horses originating from a country where the U.S. Department of Agriculture (USDA) requires a seven-day quarantine in the U.S. may provide the initial export certificate that was used when the horses entered the U.S. and that certifies that the horses were submitted to an acaricide treatment prior to their arrival into the U.S. (start of quarantine). The certificate or veterinary declaration (see Annex 1) attesting to the tick treatment must be received on or before five days prior to the horse’s entry to OLG Caledon Pan Am Equestrian Park to: Dr. Mike Pownall Veterinary services manager, TO2015

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Email: [email protected]

Arrival examination Upon arrival at OLG Caledon Pan Am Equestrian Park, all horses must undergo a tick examination (see Annex 2) following their arrival examination and before entering the stable area. If a tick is found during the tick examination, the application of an acaricide (Bronco, Farnam) will be performed before the horse will be admitted to the stable area.

Piroplasmosis-positive horses

Piroplasmosis-positive horses will be housed in a separate stabling area.

All horses entering the piroplasmosis-positive horse stables will be treated with an acaricide (Bronco, Farnam) product immediately upon arrival at the piroplasmosis-positive horse stables.

Re-application will occur according to label instructions or as prescribed by the Canadian Food Inspection Agency (CFIA).

All horses will undergo an inspection for ticks upon entry or re-entry into the piroplasmosis-positive horse stables, including inspections after exercise, training, competition or any other entry/exit from the stables.

When outside the stables, piroplasmosis-positive horses will have a unique identifier, such as a colour (red) with their stable numbers.

Piroplasmosis-positive horses will not be permitted to graze in any area other than the designated grazing area for piroplasmosis-positive horses. Any piroplasmosis-positive horse observed outside of this designated area by FEI stewards or other authorized personnel will be required to immediately return to the piroplasmosis-positive horse stable.

Piroplasmosis-positive horses will be inspected and may be required to undergo treatment for ticks before entering the stable.

Piroplasmosis-positive horses must be exported from Canada within seven days after their competition. Exceptions will only be made upon consultation and approval by appropriate CFIA personnel.

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Doping and Medication Controls for Horses Anti-doping tests will be conducted to detect the presence of prohibited substances, which can be found on the 2015 FEI Equine Prohibited Substances List. These tests will be carried out under the supervision of the FEI testing veterinarian/FEI veterinary commission. At least 5 per cent of the participant horses in each competition, chosen as directed by the FEI Veterinary Regulations, will be subject to EADCM testing. The following must be included in this 5 per cent: the first four horses classified in the individual final competition and in the event of team final competition; and a horse from each team qualified in the first four places. The procedures used for veterinary control will follow the FEI Veterinary Regulations 2015 that are in effect. All horses must have a valid official FEI passport. Supportive veterinary treatments may only be given with the authorization of the veterinary commission and by veterinarians who possess an FEI veterinarian ID card. A sufficient number of designated stalls will be made available for this purpose. Horse EAD CMP blood and urine samples will be analysed by: United States Equestrian Federation (USEF) Equine Drug Testing and Research Laboratory Mr. Tom Lomangino 1509 Bull Lea Road, Suite 100 Lexington, KY 40511 Tel: 1.859.225.2060 Fax: 1.859.225.2067 Email: [email protected]

Treating Veterinarians There will be two or three treating veterinarians available during daytime hours and two members of the veterinary service team available on-site overnight. Their names and contact information will be posted in the veterinary treatment area (VTA) located in the main stable building.

Licensing of Non-Ontario Veterinarians

Veterinarians not licensed within Ontario will not need to be registered with the College of Veterinarians of Ontario if they are attending the TORONTO 2015 Pan Am Games solely

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to treat horses from their nation. Veterinarians wishing to come to the Games and work on non-team horses and who are not licensed in Ontario will be required to obtain a temporary license. Licensing information is available at: www.cvo.org/For-Applicants/Licensure.aspx. Registration of Team Veterinarians and Paraprofessionals All team veterinarians and equine paraprofessionals (massage therapists, physiotherapists) must register with the VTA and the FEI veterinary commission as soon as possible after their arrival at the OLG Caledon Pan Am Equestrian Park. They must bring a copy of their professional card and openly display their FEI veterinary ID card. Upon arrival at the OLG Caledon Pan Am Equestrian Park, team veterinarians must provide contact details (including mobile phone numbers) to the VTA administrator so that they may be reachable at all times in the event of an emergency. Team veterinarians will not be able to use any VTA facilities, submit any samples for clinical pathology or obtain veterinary stock until they have registered at the VTA. All veterinarians must openly carry their FEI veterinarian ID cards in addition to their accreditation. All equine paraprofessionals must be registered under a registered accredited veterinarian.

Veterinary Facilities

There will be one VTA at the OLG Caledon Pan Am Equestrian Park and one at the Pan

Am Cross-Country Centre.

The VTA will be open daily from July 6 to July 26. Times of operation will be posted in the

veterinary service area. There will be a veterinarian on duty on the venue 24 hours, seven

days of the week.

On-site veterinary services will include:

• dispensary

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• endoscopy

• radiography

• ultrasonography

• complete blood count (CBC)/biochemistry

• acupuncture

• chiropractic

• ophthalmology

• cardiology assessment

Due to radio protection issues, all X-rays must be performed at the VTA with equipment provided by Idexx. Team veterinarians will be welcome to use all imaging facilities and may review images in confidence, burn files to disk and/or store images on a dedicated cloud server in the VTA. Teams should note that the VTA will not have an operating theatre or facilities for specialist imaging, such as scintigraphy or magnetic resonance imaging.

The Ontario Veterinary College at the University of Guelph, located 60 kilometres from the venues, will be the referring hospital and will operate on a 24-hour basis for horses that require the following:

• surgery

• isolation

• necropsy

McKee-Pownall Equine Services offers a standing MRI, if required.

A registered equine massage therapist will be available by appointment only through the VTA.

The TO2015 veterinary team will co-ordinate referrals to the above external institutions.

Payment for services rendered by the external veterinary hospitals must be made at the time of service by cash or credit card only.

Veterinary Charges Charges will be levied for any medications, services, imaging, supplements and other consumables and for clinical pathology services administered within and outside the venues.

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Each chef d’équipe or person responsible will be required to pay immediately for any medication or services received at the VTA. Payment must be made by credit card only. All accounts must be settled in full before horse passports will be released at the end of the competition.

Routine and Emergency Services During the VTA’s operational hours, dedicated members of the veterinary services team will be available to provide the following services upon request:

• Visit and examine horses in their stables.

• Examine horses in the VTA.

• Perform more detailed diagnostic investigations in the VTA on behalf of team veterinarians or persons responsible.

• Perform and interpret further diagnostic investigations on behalf of teams, provide clinical advice on the basis of the findings and undertake FEI veterinary commission-approved treatment.

• 24-hour emergency care. All services listed above must be booked in advance at the VTA, either by phone or in person at the VTA office. An equine ambulance will be available at all times to transport horses, as needed, from the VTA on-site at the competition venues to a referral hospital. If a horse must be hospitalized in a referral clinic, all veterinary care will be charged to the NOC (consultation, surgery, complementary examinations, hospitalization, medications, other consumables, clinical pathology services, etc.).

Clinical Pathology Services

There will be an on-site lab located in the VTA for CBC and biochemistry analysis. A list of

the full range of tests will be available from the VTA.

Team veterinarians must deposit clinical pathology samples at the VTA. Consumables with which to collect specimens may be requested at the VTA. A laboratory submission form shall be completed in full for every horse. Hard-copy results will be posted for collection in the team mailboxes at the VTA. Turnaround times for laboratory samples will depend on the test being requested.

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In the event of an emergency, after-hours clinical pathology services will be available through the VTA.

More detailed pathobiology samples will be sent to Idexx. Test results will vary depending

on the type of testing being performed.

Dispensary A wide range of medications and other veterinary consumables will be available for purchase from the VTA during its standard opening hours. A full list of items and prices will be available from the VTA. Medications will only be supplied directly to the team permitted treating veterinarians who have registered with the VTA. To purchase items from the dispensary, team veterinarians must follow these procedures:

1. The horse must be seen at the VTA. 2. A prescription must be signed by both the team veterinarian and the TO2015

treating vet. 3. The order must be collected by the team veterinarian.

Necropsy As required by the FEI Veterinary Regulations, a necropsy service will be provided 24 hours per day, seven days a week at the Animal Health Laboratory at the Ontario Veterinary College. A dedicated equine ambulance service will be available to take horses from OLG Caledon Pan Am Equestrian Park and/or the Pan Am Cross-Country Centre to the lab.

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Annex 1: TORONTO 2015 Tick Treatment Confirmation Form

To: Dr. Mike Pownall, veterinary services manager Email: [email protected]

I, _____________________________ DVM, licensed in (state/province, country) __________________________, (number)____________ certify that the following horse(s) were treated with an acaricide and inspected for ticks within seven days of the scheduled arrival at OLG Caledon Pan Am Equestrian Park (CEP).

Signed: ___________________________

Date: _____________

Horse Name FEI Passport

Number Date of Treatment

Scheduled Date of

Arrival at CEP

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Annex 2: Ectoparasite Examination Procedure The following anatomical areas must be systemically examined:

Starting at the horse’s head, visually examine and palpate the false nostrils and

ears.

Examine the forelock and continue down the mane and neck to the withers.

Examine the submandibular/intermandibular space with the fingers, while flattening

the hand, and feel for uneven skin.

Visually examine and palpate the axilla of one side.

Examine and palpate the anterior leg, including the anterior and posterior fetlock to

the coronet of the foot.

Visually examine the udder/scrotum area on one side.

Visually examine and palpate the tail and perineum.

Examine and palpate the posterior leg, including the anterior and posterior fetlock to

the coronet of the foot.

Visually examine the udder/scrotum of the other side.

Examine and palpate the other posterior leg, including the anterior and posterior

fetlock to the coronet of the foot.

Examine and palpate the other anterior leg, including the anterior and posterior

fetlock to the coronet of the foot.

Visually examine and palpate the axilla of the other side.

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Health Canada Forms

Appendix A - Exemption Application for Importation, Possession and Export of Controlled Substances and Precursor Chemicals/Declaration of Importation of Therapeutic

Products Form

Appendix B - Controlled Substance and/or Precursor Chemical Product List

Appendix C - Human Drug and Natural Health Product List

Appendix D - Human Drug and Natural Health Product List

Appendix E - Whole Blood – Blood Component for Transfusion and Blood Product (Biological Drug) List Appendix F - Drug for Veterinary Use List Appendix G - Privacy Notice Statement:

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Protected B when completed

Appendix A

Exemption Application for Importation, Possession and Export of Controlled Substances and Precursor Chemicals/Declaration of Importation of Therapeutic

Products Form TORONTO 2015 Pan Am Games

PLEASE TYPE OR PRINT TO ENSURE LEGIBILITY

NATIONAL OLYMPIC COMMITTEE INFORMATION

Section 1: Chief Medical Officer (CMO)/Chief Veterinary Officer (CVO) Information

Representative of which team, country? ____________________________________________________________________________

Name of CMO/CVO: _____________________________________________________________

Email address: ___________________________________________________________________

Medical/veterinary licence or registration number: ________________________________________

Name and address of medical/veterinary regulatory authority:__________________________________________________________________

Website of medical/veterinary regulatory authority: _________________________________________________________________________

Email address of medical/veterinary regulatory authority:

___________________________________________________________________________

Home office mailing address: _____________________

______________________________________________

Tel. (office): ___________________________________

Fax (office): ___________________________________

Canadian mailing address: ________________________

______________________________________________

Tel. (while in Canada): ___________________________

Fax (while in Canada): ___________________________

Section 2: Importation/Exportation

Mode of transportation (please provide a detailed copy of the

CMO/CVO itinerary with your request, including airlines, flight numbers, hours of departures and arrivals):

Date of entry:

_____/_____/_____ yy mm dd

Port of entry into Canada:

Date of export:

_____/_____/_____ yy mm dd

Port of exit from Canada:

Controlled substances and/or precursor chemicals must accompany the CMO/CVO or the medical/veterinary team

member(s) authorized on the section 56 exemption letter at the time of import and export.

Section 3: Medical/Veterinary Team Information

List name and tile of all persons who will handle controlled substances and/or precursor chemicals (attach additional sheet(s) if extra space is

required & identify each sheet with the country name). Activities are possession, distribution and administration.

Name: ____________________________________ Title: ______________________________ Activity(ies):____________________________

Name: ____________________________________ Title: ______________________________ Activity(ies):____________________________

Name: ____________________________________ Title: ______________________________ Activity(ies):____________________________

Section 4: Signature of CMO/CVO

Signature of CMO / CVO:

Date of signature:

Internal Control #: ____________

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Protected B when completed

Appendix B Controlled Substance and/or Precursor Chemical Product List

TORONTO 2015 Pan Am Games

PLEASE TYPE OR PRINT TO ENSURE LEGIBILITY

Category/Description Brand/Commercial

Name Dosage Form Active Ingredient(s) Strength/Concentration

Package Size (specify)

Total Quantity Imported

Internal Control #: _______________

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Protected B when completed

Appendix C

Human Drug and Natural Health Product List TORONTO 2015 Pan Am Games

ALL THE FOLLOWING PRODUCTS DO NOT CONTAIN ANY CONTROLLED SUBSTANCES OR PRECURSOR

CHEMICALS PLEASE TYPE OR PRINT TO ENSURE LEGIBILITY

Category/Description Brand/Commercial

Name Dosage Form Active Ingredient(s) Strength/Concentration

Package Size

(specify)

Total Quantity Imported

Internal Control #: _______________

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Protected B when completed

Appendix D

Medical Device List TORONTO 2015 Pan Am Games

PLEASE TYPE OR PRINT TO ENSURE LEGIBILITY

Brand Name/Model Number Type of Device Modality/Function Total Quantity Imported

Internal Control #: ____________

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Protected B when completed

Appendix E

Whole Blood – Blood Component for Transfusion and Blood Product (Biological Drug) List TORONTO 2015 Pan Am Games

ALL THE FOLLOWING PRODUCTS DO NOT CONTAIN ANY CONTROLLED SUBSTANCES OR PRECURSOR CHEMICALS

PLEASE TYPE OR PRINT TO ENSURE LEGIBILITY

Category/Description Brand/Commercial

Name Dosage Form Active Ingredient(s) Strength/Concentration

Package Size (specify)

Total Quantity Imported

Internal Control #: ________________

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Protected B when completed

Appendix F

Drug for Veterinary Use List TORONTO 2015 Pan Am Games

ALL THE FOLLOWING PRODUCTS DO NOT CONTAIN ANY CONTROLLED SUBSTANCES OR PRECURSOR

CHEMICALS PLEASE TYPE OR PRINT TO ENSURE LEGIBILITY

Category/Description Brand/Commercial

Name Dosage Form Active Ingredient(s) Strength/Concentration

Package Size (specify)

Total Quantity Imported

Internal Control #: ____________

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22 TORONTO 2015 Pan Am Games Veterinary Guide

Appendix G

Privacy notice statement: The personal information you provide Health Canada

is collected under the authority of the Controlled Drugs and Substances Act and the Food and Drugs Act. The personal information is collected for the purposes of processing your request for an exemption to import a controlled substance or a chemical precursor under section 56 of the Controlled Drugs and Substances Act and verifying the compliance of the importation of health products with the Controlled Drugs and Substances Act and the Food and Drugs Act. Upon entry into Canada, your personal information may be used for verification purposes as well as compliance and enforcement purposes.

Failure to provide the requested information will prevent the processing of your application for authorization to import therapeutic products and/or for s.56 exemption letters under the Controlled Drugs and Substances Act.

This personal information collection is described in Info Source, available online at the Info Sources website. Refer to the Health Canada chapter (see Personal Information Bank(s) - HC PPU 405, 406, 407 and 408).

In addition to the protection of personal information, the Privacy Act gives individuals the right to request access to and correction of their personal information. For more information about these rights, or about the Government of Canada privacy practices, please contact the Health Canada/PHAC director, privacy management at 613.954.9165 or [email protected]. You also have the right to file a complaint with the Privacy Commissioner of Canada if you think your personal information has been handled improperly.