Privacy

Protection of Your Privacy

The Middlesex Hospital Alliance (MHA) is committed to protecting the personal information of all individuals who we come into contact with. We aim to collect only specific personal information that is needed for operation. All personal information that is collected is used, maintained and disposed of according to applicable legislation, policies, agreements and best practices.

To request a copy of your personal health information, please contact the Health Records Department to discuss your request.

There is a fee for requests for copies of personal health information and we will be able to determine what the amount will be once we understand what information is being requested.  The attached form can be completed and faxed to the health Records Department at the appropriate site.

Strathroy: 519-246-5905                     Four Counties: 519-693-1202

You will be asked to provide positive identification before the copies will be released.

View our Privacy Policy if you would like to know more, or contact our Privacy Officer at Ext. 5529.

 

Personal Health Information Request

To request a copy of your personal health information, please contact the Health Records Department to discuss your request.

There is a fee for requests for copies of personal health information and we will be able to determine what the amount will be once we understand what information is being requested.  The attached form can be completed and faxed to the Health Records Department at the appropriate site.

Strathroy site – 519-246-5905

FCHS Site – 519-693-1202

You will be asked to provide positive identification before the copies will be released.

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