We are taking requests over the phone, by fax or email during the COVID-19 visitor restrictions. Once we receive your request, we will be validating your identity (by using a government issued piece of ID), processing payment by phone and sending records either by mail or fax.
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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 the fax number below.
| ||$30.00 for first 20 pages |
$.25 /page after that
|Proof of birth letter or time of birth letter|| |
|Accessing/reviewing of health record||$6.75/15 minutes or less|
|Criminal injuries compensation board||$30|
|Insurance/medical form completed by hospital staff||$30|
|Search fees retained if no record found||$30|
|Workplace safety and insurance board||$48.15|
Contact the Health Records Department:
Monday to Friday 8 am-4 pm (not including Statutory holidays)
Phone: 705-324-6111 ext. 4613.
ATTN: Release of Information
10 Angeline St.N
Frequently Asked Questions
1. How do I obtain a copy of my Ross Memorial Hospital health record?
You or your legal representative must complete a consent form (above) to disclose your personal health information. The consent must be directed to the Health records department, must be signed, witnessed, dated and specify which visit and clinical information is being requested and to who the information is being released to.
2. Is there a fee for obtaining my Ross Memorial Hospital record?
There is no fee when releasing information to physicians or other health care facilities for purpose of continuity of care. For requests other than for the purpose of continuity of care, including individuals requesting a personal copy of their records see fee schedule above, which is aligned to the guidelines sets by the Privacy Commissioner of Ontario.
3. How do I request a copy of a record of a deceased patient?
The executor of the estate must provide proof by producing the will and sign a consent to disclose. If no will exists, a certificate of appointment of Estate trustee is required.
4. How do I obtain a death certificate
The hospital does not issue death certificates. Please contact Service Ontario 1-800-461-2156 or visit their website.