"Given the significant commitment of time involved in completing these questionnaires, and my busy clinical practice, I would ask for your assistance in completing these forms, as is usually the case when I report cases to the [Canadian Creutzfeldt-Jakob Disease Surveillance System]," Marrero wrote.

Instead, he claims he received a letter from a Vitalité Health Network lawyer about two weeks later "threatening discipline," and accusing him of not respecting the requirements of the Public Health Act, according to the 183 pages of documents.