Cornwall Community Hospital Health Information Services
If you were a patient of Cornwall Community Hospital you can receive a copy of your health records by submitting a written request to the hospital.
The written request for health records must include your name, date of birth and mailing address as well as the type of information you need. The request must be signed by you or your substitute decision maker.
Cornwall Community Hospital retains and manages patient records according to government legislation and the corporation by-laws. This means the hospital may only maintain some of your records.
Whether you want your records released to a relative, friend, family doctor or others, you must submit a signed consent, indicating who is to receive the information and giving the hospital authorization to release your information. The consent is valid for three months and it must be dated and witnessed. You may mail this consent form with your written request or bring the request in person to Cornwall Community Hospital, Health Information Services, 840 McConnell Avenue, Cornwall.
Do I need parental consent if I am a youth?
Yes. If you want your health records released and you are not at least 16 years old, you must have a parent or legal guardian submit the request on your behalf.
To obtain records for individuals who are deceased or incapable of signing consent, proof of executorship or legal signing authority must be submitted with the request.
If you are looking for your birth information (e.g., proof of birth, time of birth), please submit a written request that includes your mother's full name and date of birth.
There is an administrative fee for non-medical requests.
For more information on Cornwall Community Hospital’s release of information procedures and policies, contact the Manager of Health Information Services: Rhiannon St. Pierre at (613)-938-4240 ext. 2379
The release of information office (613-938-4240 ext: 2247 or fax: 613-930-4505) is open Monday to Friday, 8:00 am to 4:00
Please Note: Health Information Services requires the original, witnessed, signed authorization form in order to complete your request.
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Patient and Family Advisory Committee
Cornwall Community Hospital is located on the traditional lands of the Akwesasne Mohawks and their ancestors. We are forever grateful to those who had been on these lands before us and through their stewardship and connection to the land, have made it what it is now. Read our full Land Acknowledgement here.
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