My Medical
record
Accessing Your Health Record
Collection, use, access and/or disclosure of personal health information is governed by Ontario law (Personal Health Information Protection Act 2004). You have a right, by law, to access your own hospital health record either by viewing or requesting a copy.
Requesting a Copy of your Own Health Record
You can obtain a copy of your own hospital health record by filling out the online consent form. This form can then be printed out, signed and submitted to the Health Records Department by e-mail, fax or in person.
Request to Access Personal Health Information Form
(This file is a fillable form and needs to be saved on your computer to fill out electronically, or print to fill out by hand.)
Click here to view available online patient health information portals
Obtaining a Copy of your Health Record for a Third Party
You can request that a copy of your hospital health record be released to a lawyer, insurance company, or any other third party specified by you, by filling out the online consent form. This can then be printed out, signed and submitted to the Health Records Department by e-mail, fax or in person.
Third Party Release Form
(This file is a fillable form and needs to be saved on your computer to fill out electronically, or print to fill out by hand)
Your Privacy is Important to Us
Listowel Wingham Hospitals Alliance is committed to keeping your personal health information safe and confidential.
Contact Us
Listowel Memorial Hospital
Telephone: (519) 291-3120 Ext.6207
Fax: (519) 292-2131
Email: LMMedicalRecords@lwha.ca
Wingham and District Hospital
Telephone: (519) 357-3210 Ext.5230
Fax: (519) 357-3919
Email: WDTranscriptionists@lwha.ca
See Below for Frequently Asked Questions