Accessing your Medical Record
Request for Release of Information
In accordance with the Health Records Act 2001, patients can request to access information from their medical record.
Once your application form has been received, a search will be conducted for the information you seek.
Under the Health Records Act 2001 and the Privacy Act 2014 Beleura Private Hospital has 45 days to provide the requested information.
There are costs involved in providing this information and an invoice will be sent once an initial request is made.
Fees & Charges (+GST):
Administration Fee: $39.80
Photocopying: 0.20c per page
Retrieval from secondary storage (if applicable): $19.10
Should you wish to make an application to access a medical record please complete the application form and post it together with a photocopy of photo identification (such as your driver’s licence or passport) to:
Beleura Private Hospital
925 Nepean Highway
Mornington VIC 3931
Alternatively you can scan and email the completed form and photo identification to: email@example.com
For further information please contact Susan Folkes on 5976 0817 or firstname.lastname@example.org