Under Ontario’s Personal Health Information Protection Act (PHIPA), you have the right to access your personal health information.
To speak to a Release of Personal Health Information specialist, please call 519-685-8500 extension 52865.
Requesting a copy of your patient record
You can request a copy of your patient record by submitting the following:
- A completed Consent for Release of Personal Health Information form
- A copy of your government-issued photo identification
- An initial processing fee of $33.90
Other ways to access your patient record:
- ConnectMyHealth: Securely and conveniently access your personal health information online at no extra charge."
- PocketHealth: Fast and easy access to your medical imaging & reports. PocketHealth offers basic free access to images and subscription pricing available with additional features.
- MyCarePortal: Securely and conveniently access your personal health information online at no charge. (COMING SOON)
Paying the processing fee
The initial processing fee of $33.90 can be paid by:
- Cash
- Cheque (payable to London Health Sciences Centre)
- Credit card (call 519-685-8500 extension 52865 to pay over the phone)
Please note: Additional administrative fees may apply. Please see the Fee Schedule for details.
Submitting all documentation
All documentation can be submitted by:
- Email: roi_lhsc@lhsc.on.ca
- Regular Mail: London Health Sciences Centre, Attn: Health Information Management department, 800 Commissioners Road East, Room C1-700, Post Office Box 5010, Station B., London, Ontario, Canada, N6A 5W9
- Fax: 519-685-8272
- On-site drop box: Secured drop-boxes are located outside the Health Information Management departments at each site. Completed consent forms, copies of identification, and payments can be secured in an envelope and deposited into the drop-boxes after regular business hours.
- Victoria Hospital: Room C1-700
- University Hospital: Room B1-100
- Verspeeten Family Cancer Centre (formerly known as the London Regional Cancer Program): Room A3-828
What else you need to know
- We must receive your completed consent form, proof of identification and the initial processing fee before we can begin processing your request.
- In accordance with PHIPA, your request will be processed within 30 days. Urgent requests can be accommodated by noting this on the consent form and is dependent on the type of request. Urgent fees apply. Please contact the Release of Information office if your request is urgent.
- The Consent for Release of Personal Health Information form pertains to the disclosure of personal health information that is specific to treatment received on or before the date the form was signed. It is valid for 6 months and can be altered at any time by written notification to the hospital. Withdrawal of consent is not retroactive to information already released.
Requesting a copy of someone else’s patient record
If you are a patient’s alternative signing authority (e.g. the Substitute Decision Maker of a patient incapable of providing consent or Executor of a deceased patient’s estate), please submit the following:
- A completed Consent for Release of Personal Health Information form
- All relevant legal documents
- An initial processing fee of $33.90
Paying the processing fee
The initial processing fee of $33.90 can be paid by:
- Cash
- Cheque (payable to London Health Sciences Centre)
- Credit card (call 519-685-8500 extension 52865 to pay over the phone)
Please note: Additional administrative fees may apply. Please see the Fee Schedule for details.
Submitting all documentation
All documentation can be submitted by:
- Email: roi_lhsc@lhsc.on.ca
- Regular mail: London Health Sciences Centre, Attn: Health Information Management department, 800 Commissioners Road East, Room C1-700, Post Office Box 5010, Station B., London, Ontario, Canada, N6A 5W9
- Fax: 519-685-8272
- On-site drop box: Secured drop-boxes are located outside the Health Information Management departments at each site. Completed consent forms, copies of identification, and payments can be secured in an envelope and deposited into the drop-boxes after regular business hours.
- Victoria Hospital: Room C1-700
- University Hospital: Room B1-100
- Verspeeten Family Cancer Centre (formerly known as the London Regional Cancer Program): Room A3-828
Please view our Frequently Asked Questions page for details on what type of legal documents you may be required to include, depending on your situation.
What else you need to know
- We must receive your completed consent form, all relevant legal documents and the initial processing fee before we can begin processing your request.
- In accordance with PHIPA, your request will be processed within 30 days. Urgent requests can be accommodated by noting this on the consent form and is dependent on the type of request. Urgent fees apply. Please contact the Release of Information office if your request is urgent.
- The Consent for Release of Personal Health Information form pertains to the disclosure of personal health information that is specific to treatment received on or before the date the form was signed. It is valid for 6 months and can be altered at any time by written notification to the hospital. Withdrawal of consent is not retroactive to information already released.
Circle of Care requests
A “circle of care request” is a request to access a patient’s records that comes from another member of the patients’ care team (e.g. their family physician or nurse practitioner).
Health care providers who are part of a patient’s circle of care can request a copy of their patient’s records by faxing a written request on company letterhead to 519-685-8272. Please include all relevant details, including the patient’s name, date of birth and health card number.
There is no fee associated with this type of request.
