Hospital Section Masthead

Health Records


Download the Consent Form to Disclose Personal Information

The following fees apply when requesting the release of information:

Release of Information Schedule of Fees

Central East LHIN Third Party Requests

Basic Search Fee (No patient records found)  $150.00 
Law Firms/Insurance Companies/Rehab Consultants $200.00 (first 25 pages)
 Thereafter $1.00 per page
Criminal Injuries Comp. Board 100.00
Solicitor General/Attorney General $200.00 (first 25 pages)
 thereafter $1.00 per page
Legal Aid $200.00
Public Guardian $0.50 per page
College of Physicians and Surgeons / College of Nurses    $0.25 per page
WSIB / Appeals Tribunal $48.15
Hourly Rate for Court Attendance   Standard witness fee

Patient Requests

Patients $100.00 (1-25 pages) +  
 thereafter $1.00 per page
Time of Birth $100.00
Proof of Birth $50.00
Visit History / Confirmation of Visit $15.00
Hospital / Physician for patient care        No charge 
Chart viewing with HIM staff   $50.00 per ½ hour or portion thereof  

Research Fees

Administration Fee $50.00  
Charts pulled/viewed  $5.00 per chart  
Copies  $1.00 per page  
Charts requested from Outside Storage As charged by vendor 
Microfilm In-service   $25.00 flat fee 
Viewing    $5.00 per chart  
Copies   $1.00 per page  
Electronic Access  $25.00  

Miscellaneous

CD ROM for diagnostic imaging tests   $10.00  
Rush Fee (within 72 hours, in addition to fee schedule)  $200.00  
Courier Costs   Requestor responsibility  

 

July 2006 - Discretion (in whether or not to charge in the above cases) may be used depending on the circumstances for which the information is required.

Download Schedule of Fees as a PDF

Please click here to download a Consent to Disclose Personal Health Information form. The form must be completed and faxed to the Health Records office at 705-328-6156.

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