Patient Indviduals Request



If an individual requests to see or get a copy of their Personal Health Information (PHI)

Individuals should be advised to complete the CCMB Consent to Access Personal Health Information Form and submit it to the site where their personal health information is maintained. The request should be sent to the attention of the Privacy Office. Click here for site's privacy officer location information.

For assistance in completing the Consent to Disclose Personal Health Information Form, please call the Medical Legal Correspondent at (204) 787-2266 or toll free at 1-866-561-1026.

Once the form is complete, please mail to:

For individuals personal health information located at CCMB Sites:

CancerCare Manitoba
Attention: Medical Legal Correspondent
ON2096 - 675 McDermot Avenue
Winnipeg, MB R3E 0V9

Or you can fax the completed form to: (204) 786-0185

For individuals whose Personal Health Information requests located at other health care locations; please submit the forms to the Privacy Officer at that location. Click here for site locations.