Request for Access to Personal
You have the right to access the personal health information contained in your Home and Community Care health record. The requestor must be a capable patient, or the authorized substitute decision maker (SDM) of an incapable patient.
Making a Request
To make a request fill out the Request for Access to Personal Health Information form and submit by mail, fax or in person to our Privacy and Records Department. To avoid delays, check that all information is completed on the form. If you are requesting information as the authorized SDM for a patient who is incapable, you will need to verify your role by providing the necessary documentation (e.g. copy of Power of Attorney for Personal Care document).
When describing the information you are requesting, be as specific as possible. Describe if you are requesting a specific document, documents in a time period, documents for an admission, or the full record. Include dates and timeframes wherever possible.
There is a preparation fee to receive a copy of personal health information. The fee will depend on the size of the records prepared. The invoice will be sent to you when we send you the record(s). Please call us if you would like an estimate. The fee is:
- $30.00 for the first 20 pages and $0.25* per page thereafter (*$0.50 per microfilm page), or
- $10.00 for a letter (there is no fee for an HST exemption letter)
Method of Release
Please tell us how you want to receive the records. The form outlines options for you; be sure to provide all necessary contact information.
Records will be made available to you within 30 days from the date we receive a complete request. If your request is urgent, please describe why and state the date you need the records. We will contact you if we cannot meet your timeline.
To open the Request for Access for Access to Personal Health Information form, click here. To make a request for personal health information, we ask that you submit your Request for Access to Personal Health Information form by:
Fax: 705-792-6299 or
Mail to: 15 Sperling Drive, Suite 100, Barrie ON, L4M 6K9
Attention: Health Records
If you do not have access to a fax, you may alternatively send your request by email to NSM.HealthRecords@lhins.on.ca
*Please note that email messages are not encrypted and we cannot guarantee the security of messages sent external to the Home and Community Care Support Services system. Email may risk patient privacy. Be sure to double check the recipient email address. Please do not use this email address for any other purpose than sending the request.
Please call us at 705-721-8010 x6641 if you require assistance with these processes.
Please contact our Privacy and Records Department if you require assistance with this process or if you have questions regarding:
- Privacy policies
- How to access to your personal health information
- How to request a correction of personal health information
- To identify a privacy issue.
Tel: 705-721-8010 Ext. 6641 or 1-888-721-2222 Ext. 6641
Address: 15 Sperling Drive, Suite 100, Barrie, ON L4M 6K9