The Thunder Bay Health Sciences Foundation’s Exceptional Cancer Care Campaign (ECC) is helping raise $5.9-million in community funds to put state-of-the-art equipment in the hands of our local cancer care professionals so they can provide exceptional cancer diagnosis, treatment and research for the people of Northwestern Ontario.
Provincial legislation provides access to one’s own personal records. The Health Sciences Centre’s Health Records Department is responsible for the release of patient health information and its policies govern procedures to provide that information upon request.
Requesting copies of your health record
There are three options for requesting copies of your hospital records if you were a patient of Thunder Bay Regional Health Sciences Centre (the Hospital):
You can request copies of your health records by visiting the Hospital’s Health Records department and completing the Patient’s Request to Access Personal Health Information authorization form.
Third parties must complete the CS 348 – SCA – Consent to Disclose Health Information authorization form.
Print and complete the form in advance of your visit, or if you prefer, copies of these forms are available in the TBRHSC Health Records department.
Please note that records can only be picked up from the Hospital’s Health Records department, located on Level Three of the Thunder Bay Regional Health Sciences Centre. Hours of operation are Monday to Friday between 8:00 a.m. and 4:00 p.m
You can request copies of your health records by submitting a written request to the Hospital’s Health Records department.
Patients should print and complete the Patient’s Request to Access Personal Health Information authorization form
Third parties should print and complete the CS 348 – SCA – Consent to Disclose Health Information authorization form
Copies of these forms can also be obtained by visiting the TBRHSC Health Records department.
Contact the TBRHSC Health Records department at 807-684-6650, and fax your authorization form 807-684-5881.
Please note that records must be picked up in the Hospital’s Health Records department, located on Level Three of the Thunder Bay Regional Health Sciences Centre. Hours of operation are Monday to Friday between 8:00 a.m. and 4:00 p.m.
Request Electronically (Patient)
An online authorization form must be completed via this link, in order to complete your request:
I am a patient or an authorized substitute decision maker.
You can then log into Medchart to securely share your record with other physicians, family or trusted parties.
Request Electronically (Third Party – Law Firm, Insurance Company etc)
I am a third-party (Law firm, insurance company etc)
You will be provided with a secure link to access and manage your request.
**If you have already made a request to the Hospital through the Medchart portal, please use your existing Medchart account to make another request.
The Health Records office is located on Level Three of the Health Sciences Centre and is open Monday to Friday, 8:00 a.m. to 4:00 p.m. For Health Records inquiries, phone (807) 684-6650. Further information regarding the privacy of your health information can be found by viewing our Privacy Information pages.
There is an administrative cost for non-medical requests. Fees are collected for processing purposes (retrieval and photocopying).
Yes, an appointment is required in order to be able to view your record. Please contact the Health Records Department at phone number 807-684-6650.
Yes, faxed consents can be sent through to the Health Records department, along with a copy of photo I.D. No personal health information can be transmitted via email. Health Records Release of Information staff may contact you if a faxed consent has been received but additional information is required.
Requests must include your name, date of birth, phone number and mailing address as well as details regarding the type of information you are requesting. The CS 348 – SCA – Consent to Disclose Health Information must be completed for all third party requests. Patients who wish to obtain copies of their own records must complete Patient’s Request to Access Personal Health Information.
Thunder Bay Regional Health Sciences Centre retains and manages patient records according to government legislation and the corporation by-laws. This means the hospital may only maintain some of your records.
Whether you want your records released to a relative, friend, family doctor or another institution, you must submit a signed CS 348 – SCA – Consent to Disclose Health Information giving the hospital authorization to release your information.
To obtain records for individuals who are deceased or incapable of signing a consent form, proof of executorships or legal signing authority must be submitted with the request. Health Records Release of Information staff may contact you if additional information is required.
Your parent(s) or relative/friend will have to request this in writing by completing the CS 348 – SCA – Consent to Disclose Health Information form. The family physician can also fax a request directly to the Hospital.
Once you have placed your request, your records will be available within 30 days.
Medchart is a third party online platform you will create a user profile and select the records you would like to request. Your request will be sent to the Hospital’s Health Records department to be processed, and you will receive an email notification once your records are available.