The Avenue Hospital
Part of Ramsay Health Care

Request for Release of Information

In accordance with the Health Records Act 2001 patients can request to access information from a 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 The Avenue 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. These are in accordance with the Health Record Regulations 2023.

Fees & Charges:

Standard administration fee: $39.80
Registered post: $12.00
Photocopying: 0.20c per page
Retrieval from secondary storage: $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:

Privacy Officer

Health Information Services
The Avenue Hospital
40 The Avenue

Alternatively you can scan and email the completed form and photo identification to:

For further information please contact Health Information Services on 03 9529 7377 or