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What are the consequences of unauthorized disclosure? There are a number of possible consequences in the case of an improper release of information: A patient may sue for negligence, breach of confidentiality or privacy, or defamation.
I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses' notes; test results; consultations with specialists; referrals).]
As a general rule, only those with parental responsibility will have the right of access to information about a child's educational, medical and Children's Services records.
The physician should not reveal confidential communications or information without the express consent of the patient, unless required to do so by law."
Making your request Your request must be made in writing to the appropriate healthcare provider. You should state that you require a copy of your medical records and specify whether you would like all or part of your records. You will often be able to submit your request by email or by post.