Requesting Copies of Patient Records

Healthcare professionals involved in your care will have access to your patient records. Anyone else, unless governed by the law, will require the patient’s consent.

To request copies of Personal Health Information please complete the consent form and forward to the Health Records department at the Walkerton hospital by email or fax.

Consent to Disclose/Release Personal Health Information

Office Hours:
Monday – Friday
8:00 AM – 4:00 PM


519-370-2400 ext.  2213


Patient Copies of Personal Health Information, Documents or Viewing of Record

Administrative/Search Fee up to 20 pages – $30.00 +HST

Additional pages @ $.25 per page

plus CD $10.00 +HST

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