Health Records
Download the Consent Form to Disclose Personal Information
The following fees apply when requesting the release of information:
Release of Information Schedule of Fees
Central East LHIN Third Party Requests
| Basic Search Fee (No patient records found) | $150.00 |
| Law Firms/Insurance Companies/Rehab Consultants | $200.00 (first 25 pages) |
| Thereafter | $1.00 per page |
| Criminal Injuries Comp. Board | 100.00 |
| Solicitor General/Attorney General | $200.00 (first 25 pages) |
| thereafter | $1.00 per page |
| Legal Aid | $200.00 |
| Public Guardian | $0.50 per page |
| College of Physicians and Surgeons / College of Nurses | $0.25 per page |
| WSIB / Appeals Tribunal | $48.15 |
| Hourly Rate for Court Attendance | Standard witness fee |
Patient Requests
| Patients | $100.00 (1-25 pages) + |
| thereafter | $1.00 per page |
| Time of Birth | $100.00 |
| Proof of Birth | $50.00 |
| Visit History / Confirmation of Visit | $15.00 |
| Hospital / Physician for patient care | No charge |
| Chart viewing with HIM staff | $50.00 per ½ hour or portion thereof |
Research Fees
| Administration Fee | $50.00 |
| Charts pulled/viewed | $5.00 per chart |
| Copies | $1.00 per page |
| Charts requested from Outside Storage | As charged by vendor |
| Microfilm In-service | $25.00 flat fee |
| Viewing | $5.00 per chart |
| Copies | $1.00 per page |
| Electronic Access | $25.00 |
Miscellaneous
| CD ROM for diagnostic imaging tests | $10.00 |
| Rush Fee (within 72 hours, in addition to fee schedule) | $200.00 |
| Courier Costs | Requestor responsibility |
July 2006 - Discretion (in whether or not to charge in the above cases) may be used depending on the circumstances for which the information is required.
Download Schedule of Fees as a PDF
Please click here to download a Consent to Disclose Personal Health Information form. The form must be completed and faxed to the Health Records office at 705-328-6156.