Accessing your Health Information
Under Ontario’s Personal Health Information Protection Act (PHIPA), you have the right to access your health information.
How to Request a Copy of your Patient Record
To request a copy of your patient record, complete this form and either:
(1) Fax it to the Health Records Department at the appropriate site:
Strathroy – 519-245-1550 ext 5949
FCHS – 519-693-4441 ext 2430
(2) Email it to ROI@mha.tvh.ca
(3) Drop it off in person at our Health Records department at either SMGH or FCHS. See the wall directories in both hospitals for department locations.
Note: If you are requesting the health records for someone else, consent or proper legal signing authority will be required.
Please note:
(1) There is a fee for requests for copies of personal health information and we will be able to determine what the amount will be once we have the details of your request.
(2) You will be asked to provide positive identification before the copies of your health record will be released.
(3) You can also access your health records securely online via ConnectMyHealth. There is no charge for this service.
For more information contact the MHA’s Privacy Officer at: (519) 245-5295 x5857 or x5529 or email: privacy@mha.tvh.ca