Application for patient medical records

If you want a copy of your medical records (or if you have written consent from a patient to apply on their behalf), you may apply for this information under the Health Records and Information Privacy Act 2002 (HRIP Act).

Please complete the application form (PDF, 86.81 KB) to apply for medical records and email it to: AMBULANCE-MedicalRecordsNorthern@health.nsw.gov.au

Identification documents

Please provide copies of two forms of valid identification which may include drivers licence, Medicare card or passport with your application form.

Payment

Payment of $33.00 (inclusive of G.S.T) is required which can be either done by cheque, credit card or Electronic Funds Transfer (EFT). If you wish to pay by EFT or credit card, please follow the instructions on the application form.

If you wish to pay by cheque, please send your application form and cheque to NSW Ambulance PO Box 17 HAMILTON NSW 2303 marked to the attention of 'NSW Ambulance Medical Records'.

Contact Details

Please email AMBULANCE-MedicalRecordsNorthern@health.nsw.gov.au or telephone (02) 4921 7555 if you have any queries.