In person: Health Information Services Building 5, Denistone Rd, Eastwood, NSW 2122 By post: Health Information Services Level 2, Building 29, Reserve Road, St Leonards, NSW 2065 In person: Health Information Services Level 2, Building 29, Reserve Road, St Leonards, NSW 2065 In person: Health Information Services 612/624 Pittwater Road Brookvale NSW 2093 By post: Health Information Services PO Box 81, Mona Vale, NSW 1660 In person: Health Information Services Level 2, 18 Coronation St, Mona Vale, NSW 2103 By post: Health Information Services 612/624 Pittwater Road Brookvale NSW 2093 In person: C/O Brookvale Community Health Centre 612/624 Pittwater Road Brookvale NSW 2093 By post: Health Information Services PO Box 169, North Ryde, NSW 1690 In person: Information Services Building 27, Wicks Road, North Ryde NSW 2113 By post: Health Information Services Palmerston Rd, Hornsby NSW 2077 In person: Health Information Services Palmerston Rd, Hornsby NSW 2077 Please contact the Health Information Services Medico-legal Department using the contact methods below: For legal representatives, law enforcement agencies and insurance companies. Patient Consent for Release of Information to a Third Party (including sensitive information). Other types of application forms available are:Īpplication for Access to Information Under the NSW Adoption Act Please note Health Information Services' personnel are not qualified clinicians and are unable to answer clinical questions about the care provided by the health care facility. There is no fee to view your record however an application form and supporting documentation will be required to confirm your identity and authority to view the medical record.ĭuring your appointment a Health Information Services representative will sit with you and be available to respond to questions about your record. If you wish to view your medical record please contact Health Information Services to arrange an appointment. Please note that Health Information Services takes no responsibility for lost mail. You may collect your record in person or it can be sent to you via post to an address nominated by you. Health Information Services aim to process your request within 28 days of receipt of valid application form, documentation and fee. How long will it take to get my medical record? The original signed application form is required and must be either delivered in person or sent via post before your application will be processed. Please refer to contact details below for postal addresses. If a request extends beyond 80 pages a photocopying fee per page applies and must be paid before the information is released to you.Īpplication forms and fees can be delivered in person to a Health Information Services department at Northern Sydney Local Health District (NSLHD), or a cheque can be made out to the relevant hospital and sent via post. The fee covers the production of the first 80 pages of information. The fee must be paid in advance or at the time of submission of the Application for Clinical Documents. Is there a fee to obtain a copy of my medical record?įor Concession Card holders, the fee is $16.50 (inc. Statutory Declaration – Custody or Access Orders current Australian passport or current Australian driver's licence, or two proofs of identification containing a photograph, signature, and current address detailsĭetailed information about the documentation required for your application can be found on the Application for Access to Clinical Information form.įor applications requiring the submission of a statutory declaration, per the Application for Access to Clinical Information form, please use the below: Provide relevant supporting documentation e.g. To request a copy of your medical record you must complete both of the following:Īpplication Form for Access to Clinical Information and Health Information Services is responsible for providing you with health information according to the Act. Health Records and Information Privacy Act NSW 2002 (HRIPA) and the Access to medical records in NSW is regulated by the
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