A written request is required with details about client information (name, PHN or DOB) and health records requested.
Health InformationAccess Request PortalClick here for more information on how to navigate the Request Portal for third-party requests.
Don’t want to use the portal? Click here for the fillable PDF Information Access Request form.
- Don’t forget to attach Consent to Disclose Health Information form signed by the client or authorized rep.
- If signing the consent form on behalf of resident/client, provide copy of supporting documents for proof of authorization.
- Family members ,who are not authorized representatives, are welcome to use the Health Information Request Form.
- Please submit all requests to [email protected]