Request for Access to Personal
You have the right to access (receive a copy or view) the personal health information contained in your record or the record of a patient for whom you are the Substitute Decision Maker (SDM), if the patient is incapable.
To make a request for access to personal health information, a completed Request for Access to Personal Health Information form needs to be submitted by mail or fax to our Health Records Department. To avoid delays, check that all information is completed on the form and that it is dated and signed. 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 detailing the personal health information you are requesting to access, specify if you are requesting a specific document, documents within a time period, documents pertaining to an encounter, or the entire record. It is advised to 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)
The preparation fee applies to the patient (or their SDM), or to a law firm, legal aid clinic, advocacy centre, insurance company or employer requesting information with patient/SDM consent.
*There is no fee for an HST exemption letter
Alternatively, the record(s) can be viewed at one of our offices at no cost.
Records will be sent to you by courier within 30 days from the date we receive the fully completed form. If your request is urgent, please provide rationale on the request form including the date the records are required. We will contact you if we cannot meet your request timeline.
To open the Request for Access to Personal Health Information form, click here. To make a request for personal health information, this form must be submitted by mail or fax to our Health Records Department.
Please contact our Health Records Department if you require assistance with this process or if you have questions regarding:
- Our privacy policies,
- How to access to your personal health information,
- How to request a correction of personal health information, or
- To identify a privacy issue.
705-721-8010 Ext. 6641 or
1-888-721-2222 Ext. 6641
Health Records Department
15 Sperling Drive, Suite 100,
Barrie, ON L4M 6K9