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                    • Request health information or health records

                    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 by one of the following:

                      • Mail:
                        Grey Nuns Community Hospital
                        Attention: Health Records – Access and Disclosure
                        1100 Youville Drive West
                        Edmonton, AB  T6L 5X8
                      • Fax: 780.735.7633
                      • Electronically through My AHS Connect, if you have set up your access. For security and confidentiality purposes, submitting by email is not recommended.
                    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.

                    Contact

                    Email

                    COVHIMAccessDisclosure@covenanthealth.ca

                    Address

                    Health Records – Access and Disclosure
                    Grey Nuns Community Hospital
                    1100 Youville Drive West
                    Edmonton, AB  T6L 5X8

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                    We acknowledge that what we refer to as Alberta is the traditional ancestral territory of a diversity of Indigenous peoples and home to Treaty 6, 7 and 8. We recognize and give thanks to the many First Nations, Métis and Inuit who have lived in and cared for these lands for generations, all who continue to grace these lands and all future generations. We make this acknowledgement as an act of reconciliation and gratitude.

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