Report an Incident

A patient safety incident is an event or situation which could have resulted, or did result, in unnecessary harm to a patient.

If you are a current Ontario Shores’ patient and experienced a patient safety incident during care, or you are a family caregiver of a current patient who discovered or witnessed a patient safety incident impacting your loved one during their care, Ontario Shores welcomes you to report the incident by:

  • Verbally reporting the incident to staff so any immediate care concerns can be addressed;
  • Completing the Incident Report Form (pdf) for Patients and Family Caregivers and submitting it to Quality & Patient Experience Department one of the following ways:
    • By emailing the completed form to
    • Faxing the completed form to the Quality & Patient Experience Department at (905) 430-4059    
    • Dropping off the completed form into one of the drop boxes located in: ICAP, FOS, and TAY waiting rooms    
    • Mailing the form to: Ontario Shores, Quality & Patient Experience Department (Building 3 Level 1), Patient Safety Leader, 700 Gordon Street, Whitby, ON L1N 5S9  

The Quality & Patient Experience Dept. will follow-up with you and staff in your/your loved one’s clinical area regarding the incident. For further inquiry or if you have any questions, please call us at 905-430-4055 ext. 6495.