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Request Personal Health Records

Formal Process under Personal Health Information Protection Act (PHIPA)

At this time, all patient requests for health records will be facilitated ONLY by phone from Monday to Friday, from 8:00 am to 4:00 pm.

To request access to your personal health information (health records) please click here to download the ROI consent form. Once you have completed it, please fax it or mail it to the hospital where you were treated. If you require more information please contact the Clinical Information Services Department at the applicable site. Please send a copy of a Government Issued photo ID with proof of signature (drivers license, passport, etc.). If you require more information, please contact the Clinical Information Services Department at the applicable site.

HospitalAddressPhone numberFax number
Oakville Trafalger Memorial Hospital3001 Hospital Gate
Oakville, ON L6M 0L8
905-845-2571 Ext. 6712905-338-4639
Milton District Hospital725 Bronte Street South
Milton, ON L9T 9K1
905-878-2383 Ext. 7020905-878-0498
Georgetown Hospital1 Princess Anne Drive
Georgetown, ON L7G 2B8
905-873-0111 Ext. 8237905-873-4574


Your written direction/consent with signature is required outlining the records you wish to obtain i.e. specific visit/admission dates. If you are requesting records for another person, you will have to provide proof that you have the authority to act for that person.

Fees

There is a $30.00 fee for the first (20) twenty pages of records and 25 cents per page in addition to (20) twenty pages. Records will be forwarded at no charge to another health care provider for continuity of care, i.e. family physician, specialist or another hospital.

Informal Process

There is no automatic requirement to invoke the formal provisions of FIPPA in order to obtain information.

In keeping with existing practice, informal inquiries are welcomed and will continue to be dealt with by the appropriate department heads who continue to release general information and respond to routine inquiries, while respecting the need to protect privacy.

There is no informal process for access to personal health information (health records) under PHIPA.