A Patient Request form is a PHIPA-compliant form that requires hospitals to release the identified patient’s health information within 30 days of receiving the request.
Individuals use this form when they are looking to request their own information from a hospital, clinic, or lab site they have visited in the past. All registered health facilities are required by law to respond to these requests.
A patient request form includes the following information for the requesting patient:
This form also includes details on the hospital or other health institution the patient is requesting information from:
Dot Health is a secure, online personal health data platform that allows individuals to request their own personal health information and keep it up-to-date.