Request Personal Health Records
Formal Process under Personal Health Information Protection Act (PHIPA)
Our Release of Information department is open Monday to Friday 8:00 am. – 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, mail it or drop it off at the hospital where you were treated. Please note, digital signatures are not accepted, you must print the form and sign. If you are sending your request by mail or fax please include a copy of a Government Issued photo ID with proof of signature (driver’s license, passport, etc.). If you are requesting records for another person, you will have to provide proof that you have the authority to act for that person.
| Hospital | Address | Phone number | Fax number |
|---|
| Oakville Trafalgar 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 |
Fees
There is a $33.90 fee for the first (20) twenty pages of records and 28 cents per page thereafter. These fees include HST. Records will be forwarded at no charge to another health care provider for continuity of care, i.e. family physician, specialist or another hospital.