Authorized release of medical records

Health care providers must have your written consent to share your personal health information. There are two authorization forms available. Use the form appropriate for your circumstance:

  1. Release from Health & Wellness to another health care provider, or
  2. Release from your healthcare provider to Health & Wellness

Release from  Health & Wellness

If you require any of your medical information to be released from Health & Wellness to another person e.g. your healthcare provider in the community or agency, complete the Medical Release Form from Health & Wellness (PDF). This form will permit Health & Wellness to release necessary medical information to a specific recipient.

Release from  your healthcare provider

If you require any of your medical information to be released from your healthcare provider, e.g. your own family physician, or agency to Health & Wellness, complete the Medical Release Form to Health & Wellness (PDF). This form will permit Health & Wellness to receive necessary medical information to support your care.