Requesting Patient Records

http://www.prescott-russell.on.ca/services/services_durgence/demande_acces_aux_dossiers_des_patients

Requesting Patient Records

If you wish to request access to patient records, please submit a request to the Paramedic Service of the Emergency Services Department by one of the four methods listed below.

The Emergency Services Department will respond to your request within 30 days unless an extension of time is required.

  1. If you are the Patient
    • If you are the patient and you require access to your patient record pertaining to an emergency call, you must fill out a Request to Access Personal Health Information Patient Form.
    • There will be a processing fee of $25.00, payable by cash or cheque to the United Counties of Prescott and Russell. In addition to the $25.00, extra fees may be applicable to some requests based on reasonable cost recovery for purposes of granting access. If this is the case, you will first be provided with an estimate of the fee.
    • Two pieces of valid identification, one of which with photo identification, are required prior to the release of personal health information.

  2. If you are a Family Member, Friend, or Legal Representative
    • If you are not the patient and you require access to a patient record pertaining to an emergency call, the patient himself or herself or the patient’s legal guardian must fill out an Authorization to Disclose Personal Health Information Form giving the Emergency Services Department authorization to release the documentation to you.
    • There will be a processing fee of $25.00, payable by cash or cheque to the United Counties of Prescott and Russell. In addition to the $25.00, extra fees may be applicable to some requests based on reasonable cost recovery for purposes of granting access. If this is the case, you will first be provided with an estimate of the fee.
    • Proper consent and two pieces of valid identification, one of which with photo identification, are required prior to the release of personal health information.

  3. If you are a Law Enforcement Agent
  4. If you are a Coroner

Court-Related Information

Paramedics are sometimes called to provide witness testimony to the events, which occurred while performing their duties. The Emergency Services Department is responsible for the administration of all legal documents and appearances. All subpoenas and court-related documentation must be forwarded to the Emergency Services Department.

Contact Information

All requests for patient records or all court-related information must be submitted by one of the following two options (a or b):

  1. by mail to
  2. Marc-André Périard, Deputy Chief of Operations
    United Counties of Prescott and Russell
    Emergency Services Department
    584 County Road 9, P. O. Box 150
    Plantagenet ON K0B 1L0

  3. by email to
  4. maperiard@prescott-russell.on.ca

For enquiries

Please contact Marc-André Périard, Deputy Chief of Operations, at 613-673-5139 extension 233 or maperiard@prescott-russell.on.ca.