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How to Request Your Health Information

Health information means any recorded information about your care in an AHS facility, such as diagnostic tests and results, Alberta Pharmaceutical Records (PIN), health charts, etc., that are under the custody or control of AHS.

Your Health Information from One AHS Site

Step 1: Complete this form. A $25 initial fee is required. AHS accepts cheque or money order made payable to “Alberta Health Services.”
Step 2: Send your form and payment directly by mail to the specific AHS site that has your health information.
OR

Your Health Information from More Than One AHS Site

Step 1: Complete this form. A $25 initial fee is required. AHS accepts cheque or money order made payable to “Alberta Health Services.”
Step 2: Send your form and payment directly by mail to the following address: Attn: Disclosure Help Line, University of Alberta Hospital, Room 0E1.0, 8440 – 112 St, Edmonton, AB T6G 2B7.

Questions? Contact us.

Disclosure Help Line

Email: disclosure@ahs.ca Phone: 1-855-312-2265