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How to Request Someone Else’s Health Information

You may request someone else’s health information if you provide us with proof of your authority to act on behalf of that individual or if you have valid written consent from that individual.

Someone Else’s 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.” Attach proof of your authority, written authorization, or valid written consent.
Step 2: Send your form, payment, and supporting documentation directly by mail to the specific AHS site that has the health information you’re looking for.
OR

Someone Else’s 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.” Attach proof of your authority, written authorization, or valid written consent.
Step 2: Send your form, payment, and supporting documentation 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