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Document Requests
Request Personal Health Records
If you require a copy of your personal health records from The Office of Student Support & Case Management, Western University, please complete the following:
- Download and complete the Request to Access Personal Health Information Form.
- Please ensure that all fields are completed accurately.
- Email the completed form to health@uwo.ca for processing.
- Allow for at least 30 days of processing time.
Please note that processing fees may apply:
- Requests for personal health records to be sent directly to the patient will incur a fee of $30 for pages 1-20 and an additional $0.25/ page thereafter. The final cost of processing is dependent on the total number of pages released and will vary with each patient. The patient will receive an estimate of the fee by email correspondence.
- The processing fee must be paid in full prior to the release of the requested records.
- Requests for personal health records to be sent to another health care provider, will not incur a processing fee.
- All other third-party requests for personal health records may be subject to the processing fee rate of $30 for pages 1-20 and an additional $0.25/page thereafter.
Please review Patient Fees for more details.