Request To Access Medical Records Form (Page 2 of 3) in pdf

Access Fees

The Practice is entitled to charge an appropriate fee, determined in accordance with the Health Records

Regulations 2002 (Vic), plus GST, to cover the administrative costs of this service. Our reception will

advise you of the applicable fee, which is not redeemable under Medicare or private health insurance.

How do I request Access to my Personal Information?

Patients who wish to access or obtain a copy of their personal information should put their request in

writing using the attached Request to Access Personal Information Form, and submit the form to our

Practice reception. All requests will be acknowledged in writing within 14 days of receipt of the request.

Ordinarily, access to the requested information will be provided within 30 days.

How will Access be Provided?

Access may be provided by:

inspecting your medical record (or a print out of your record) at the Practice.; and/or

providing a copy of the requested information in person or via secure email or post (additional

fees for postage may apply); or

providing an accurate summary of the information, instead of a copy, if you and the doctor agree

that a summary is appropriate.

We recommend that you make an appointment with your doctor to view your medical record together,

so the doctor can assist you to understand and interpret the material contained within it. A consultation

fee will apply in addition to the administration fee, plus GST. The fee is not redeemable via Medicare or

private health insurance.

Can I Amend my Medical Record?

You will not be permitted to remove any contents of your medical record from the Practice. Should you

wish to amend or delete any personal information, you will need to fill out a separate written request

using the Request to Amend Medical Record Form available from reception.

When will Access to My Medical Record be Refused?

Access to your personal information may be legitimately withheld in certain situations, including (among

others):

where access would pose a serious threat to the life, health or safety of any individual or the public;

where access would cause unreasonable impact on the privacy of other individuals;

where the request is frivolous or vexatious; or

where the information is privileged as a result of actual or anticipated legal proceedings.

If access to your personal information is refused, the Practice will provide you with written reasons for the

refusal. You will not be charged an access fee in this instance. If access is refused, you are welcome to

contact the Practice to discuss means by which access may be facilitated.

If you have any queries regarding the above policy, please contact our Privacy Officer Kellie Hargreaves

who will be happy to discuss these with you.

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Request To Access Medical Records Form Page 2