Please read our information on accessing your medical record before make a request.
Requesting a copy of your Medical Record
If you would like a copy of your medical record then please download, complete and submit the Private Work Request Form.
The form can be;
- handed in at reception
- posted to ‘Imperial College Health Centre, 40 Princes Gardens, London, SW7 1LY’
- scanned and emailed to email@example.com
Once received we will endeavour to contact you within 2 working days to inform you of the quote and an estimated completion date. We will not begin processing any requests until payment has been received.
|Health records held on computer||Up to £10.00|
|Health records held in part on computer and in part manually||Up to £50.00|
|Health records held manually||Up to £50.00|
Please do not make any payments until you have received a quote from the Health Centre.
Payments can be made by;
- Credit/Debit Card (in person only)
- Bank Transfer
- Cash (please bring exact amount)