Persons who would like to obtain a copy of an ACR on behalf of a child under 16 or an individual who cannot request their own ACR can do so by providing the following three items:
- A request letter (PDF file) that provides the following information:
- Patient’s name
- Patient’s date of birth
- Patient’s telephone number
- Date of the incident
- Time of the incident
- Location of the incident
- If patient was transported and to which hospital
- Any additional details pertaining to the incident
- Legal documentation to show that the requestor is entitled to obtain this health information on behalf of the patient. For a child, this is a copy of their birth certificate or passport. For any other living individual, this is a Power of Attorney for Personal Care. In the case of a deceased person, this is a Will naming the requestor as Executor, or a notarized letter stating that the requestor is assuming responsibility for the estate if there is no Will.
- A cheque in the amount of $91 made payable to “Halton Region”. Fee is valid until December 31, 2020 and is subject to change January 1, 2021. If this fee causes financial hardship, you may request a waiver of the fee, however we may ask for proof to support this request.
Please allow up to 2 weeks for your request to be processed. If you do not hear back from us within this timeframe, please contact our office to ensure your request has been received.
Once the ACR has been located, we will notify you that it is ready for pick up. At the time of pick up, you must present one piece of government identification (must be photo ID). The identification will be photocopied for our records.
If you would prefer to have the ACR sent to your home via courier, please enclose with your letter a photocopy of one piece of your government identification (must be photo ID). Qualifying government identification is as follows:
- Driver’s Licence (front and back)
- Health Card (front and back)
- other federal, provincial, territorial or municipal identification card
- Military identification
- Certificate of Indian Status
- Old Age Security card
- Federal, provincial, territorial or municipal employee identification card.
Please note, in the event an ACR cannot be located, a letter will be mailed to you and the cheque will be returned.
All requests can be mailed to:
- Halton Region Paramedic Services
1179 Bronte Road
Oakville, ON L6M 4G3
Tel: 905-825-6000, ext. 7112