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 Your Personal Health Information

Personal Health Information Access/Disclosure Inquiries

The Personal Health Information Protection Act, 2004 (PHIPA) is an Ontario law that governs the collection, use, and disclosure of personal health information within the health sector. The object is to keep personal health information confidential and secure, while allowing for the effective delivery of health care.


Requesting Access to Personal Health Information


Under the Act, you (or someone acting on your behalf i.e. a lawyer) have the right to access and request a copy of your personal health information. If you would like to access your personal health information, please complete the Health Records Department Consent to Disclose Personal Health Information form.


Please print and complete this form and mail it to:

Queensway Carleton Hospital

ATTN: Medical Health Records Department

3045 Baseline Road

Ottawa, Ontario, K2H 8P4


A fee of $30 will be charged for requests of 20 pages or less. Pages beyond this will cost an additional $0.25 per page.   


If you have questions about how to access your Personal Health Records, please contact us at 613-721-2000 ext. 2802.


When a request is received, the Information and Privacy Office may contact you to clarify your request, if additional information is required. Queensway Carleton Hospital is committed to respond to your request within 30 days, in accordance with the PHIPA. For patients 12 years of age or older, a written request signed by the patient or the patient's substitute decision maker is required before a request can be fulfilled.  


 Looking for information on how to request hospital information? Please refer to the 'Request for Information' tab.