Patient request to access Health Records 2026

1. Click ‘Get Form’ to open the Patient request to access Health Records in the editor.
2. Begin by filling out the 'Patient Details' section. Enter your URN (if applicable), surname, given names, maiden name, date of birth, sex, address, suburb, state, phone number, mobile number, Medicare number, and pension number if you qualify for a discount.
3. If you are not the patient requesting access, complete the 'Requestor' section with your details and relationship to the patient.
4. Select the type of access you require: viewing access only or printed copies. Specify which facility you attended and what records you would like to view or receive copies of.
5. For specific requests such as Time of Birth or Medical Certificates, fill in the relevant fields and indicate any additional information needed.
6. Sign the consent on page 2 authorizing the release of information. Ensure all required signatures are completed before submission.
7. Once completed, return your form via fax or email as indicated on the document.

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