Request health information or health records

The Access and Disclosure team in Health Records specializes in processing requests for health information according to Alberta’s Health Information Act.

How to request health records

1. Fill out the Health Information Access Request form. See instructions on page 2.
2. Submit your completed and signed request form and a copy of ID to our Access and Disclosure team. Email the form to COVAccessDisclosure@covenanthealth.ca or mail it to the following address.
   
   Attention: Health Records – Access and Disclosure
   Misericordia Community Hospital
   16940 87 Avenue
   Edmonton, AB  T5R4H5
3. To request health information on behalf of another person, please provide proof of authority to request the information. (eg. written authorization, Authorizing a Representative form, Guardianship, Power of Attorney, etc.)
4. We will contact you if we need more information after we receive your request. In accordance with the Health Information Act, you can expect a response from us within 30 days, but we make every effort to respond sooner.