Access to patient records related to Emergency Services can be requested under the Personal Health Information Protection Act, 2004.
Make an Access Request
Before you begin your request process
If you wish to request access to patient records, please submit a request to the Paramedic Service of the Emergency Services Department by one of the four methods listed below.
If you are the Patient
If you are the patient and you require access to your patient record pertaining to an emergency call, you must fill out a Request to Access Personal Health Information Patient Form.
Application Fee
There will be a processing fee of $25.00, payable by online payment, by cheque to the United Counties of Prescott and Russell, or by cash. In addition to the $25.00, extra fees may be applicable to some requests based on reasonable cost recovery for purposes of granting access. If this is the case, you will first be provided with an estimate of the fee.
Two pieces of valid identification, one of which with photo identification, are required prior to the release of personal health information.
If you are a Family Member, Friend, or Legal Representative
If you are not the patient and you require access to a patient record pertaining to an emergency call, the patient himself or herself or the patient's legal guardian must fill out an Authorization to Disclose Personal Health Information Form giving the Emergency Services Department authorization to release the documentation to you.
Application Fee
There will be a processing fee of $25.00, payable by online payment, by cheque to the United Counties of Prescott and Russell, or by cash. In addition to the $25.00, extra fees may be applicable to some requests based on reasonable cost recovery for purposes of granting access. If this is the case, you will first be provided with an estimate of the fee.
Proper consent and two pieces of valid identification, one of which with photo identification, are required prior to the release of personal health information.
If you are a Law Enforcement Agent
Law Enforcement Agents, who require access to patient records pertaining to an active investigation, please use the Request for Disclosure of Personal Information to a Law Enforcement Agency or a Coroner Form.
If you are a Coroner
Hospital Representatives, who require access to patient records, please use the Request for Disclosure of Personal Information to a Law Enforcement Agency or a Coroner Form.
Make a Request
All requests for patient records or all court-related information must be submitted by one of the following two options:
By mail
Christian Boudreau, Deputy Chief of Operations
United Counties of Prescott and Russell
Emergency Services Department
584 County Road 9, P. O. Box 150
Plantagenet (Ontario) K0B 1L0
By email
For more information or questions
Please contact Christian Boudreau, Deputy Chief of Operations, at 613-673-5139 extension 227 or cboudreau@prescott-russell.on.ca.
Court-Related Information
Paramedics are sometimes called to provide witness testimony to the events, which occurred while performing their duties. The Emergency Services Department is responsible for the administration of all legal documents and appearances. All subpoenas and court-related documentation must be forwarded to the Emergency Services Department.
Time Limit to Respond to an Access Request
The Emergency Services Department will respond to your request within 30 days unless an extension of time is required.