Request Personal Health Records
Formal Process under Personal Health Information Protection Act (PHIPA)
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.
|Hospital||Address||Phone number||Fax number|
|Oakville Trafalger Memorial Hospital||3001 Hospital Gate|
Oakville, ON L6M 0L8
|905-845-2571 Ext. 6712||905-338-4639|
|Milton District Hospital||725 Bronte Street South|
Milton, ON L9T 9K1
|905-878-2383 Ext. 7020||905-878-0498|
|Georgetown Hospital||1 Princess Anne Drive|
Georgetown, ON L7G 2B8
|905-873-0111 Ext. 8237||905-873-4574|
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.
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.