How to apply
Requests for patient information should be made on clinic letter head and include the following:
- Patient details - full name and date of birth;
- Requestor details – name and provider number;
- Information required, including the dates or date range (if known);
- Discharge summaries
- Operation reports
- Pathology reports
- Imaging reports
- Correspondence
- Medication list
- Patient authority/ consent (to identify if an authority/ consent is required see table below)
Please send completed requests via Fax (03) 9871 3357 or email to roi@easternhealth.org.au.
Consent
Consent is required where the treating practitioner is not nominated on the patient’s health record.
Consent from the patient may be written or verbal if the matter is urgent (please contact the ROI service on (03) 9871 3655).
When patient consent/ authority required
Request type
|
Request requirements
|
Consent
|
Nominated GP
|
On clinic’s letterhead
|
No
|
Not Nominated GP
|
On clinic’s letterhead
|
Yes
|
Specialist (referring and non-referring)
|
On hospital or clinic’s letter head
|
No
|
Hospitals/ Rehabilitation Facilities
|
On hospital letter head
|
No
|
Nominated allied health providers
|
On hospital or clinic’s letter head
|
No
|
Not nominated allied health provider
|
On hospital or clinic’s letter head
|
Yes
|
Get Connected