Get Au Patient Request To Access Health Records 2022-2025

Filling out the AU Patient Request To Access Health Records form is a straightforward process designed to help individuals obtain their medical records. This guide provides step-by-step instructions on how to complete the form effectively, ensuring that all necessary information is captured accurately.

Follow the steps to complete your form correctly.

1. Click ‘Get Form’ button to access the AU Patient Request To Access Health Records form and open it in your preferred document editor.
2. Begin filling out the patient details section by entering the surname, given names, maiden or previous surname, date of birth, sex, address, suburb, state, postcode, phone, mobile, and email. Make sure to complete details for only one patient per form.
3. If you are requesting on behalf of someone else, complete the requester section with their surname, address, and contact details.
4. Indicate the type of access you require, either by selecting options for viewing the record or obtaining printed copies, noting any relevant fees.
5. Specify which facility you attended if you wish to view your record physically. Include the date range or specific sections needed for your request.
6. Complete any specific information requests as necessary, such as requesting a statement of attendance, medical certificate, or time of birth, ensuring to note applicable fees.
7. In the authority to access records section, clarify your authorization status by selecting the appropriate option and provide the patient's, parent’s, or guardian’s written consent if required.
8. Complete the signature section by signing, dating, and printing your name, including your relationship to the patient if applicable.
9. Attach any required copies of ID and written consent, and return the completed form via fax, email, or post as indicated.
10. After submission, please allow up to four weeks for processing. Make sure to keep a copy for your records.

Complete your request for health records online today to ensure you have access to your important medical information.