FOI Application


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Drag & Drop Files, Choose Files to Upload
Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 64 MB. A copy of both sides of healthcare/pension card must be provided.
Drag & Drop Files, Choose Files to Upload
Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 64 MB. Photo identification/or proof of relationship to patient is required.
Northern Health has a combined Medical Record. Please specify which service notes you require.
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Fees
I acknowledge there will be additional costs for processing and postage as per section 22 and 23 of the FOI Act. I understand that under the FOI Act, some information may be exempt from release and relevant third parties may be contacted during the processing of the request and the applicants name will be used during this consultation process. If required, the relevant parties will be notified of exemptions and rights of appeal for this request. Please note, a member of our team will be in contact with you for payment details.
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