A written request is required with details about client information (name, PHN or DOB) and health records requested.
Heath InformationAccess Request Form- 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]