Accessing your Medical Record

Request for release of information

In accordance with the Health Record Act 2001, patients can request access to information from their medical record. There are costs involved in providing this information and an invoice will be sent once an initial request is made.

Once your application form has been received, a search will be conducted for the information you seek. Under the Health Record Act 2001 and the Privacy Act 2014, Northern Private Hospital has 45 days to provide the requested information.

Should you wish to make an application to access a medical record please complete the Application Form and post it together with a photocopy of photo identification (such as your driver’s licence) to:

Privacy Officer
Health Information Services
Northern Private Hospital
12 Osburn Street
Epping VIC

Alternatively you can scan and email the completed form and photo identification to email -