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Your health records

You have the right to ask and be given a copy of your personal health information. To submit a request, you need to:

Read the information about submitting health information request
Fill in this form
Email the required documentation (i.e. copies of your ID) to quality@gettestednz.org.nz

We can refuse your request, but only for very limited reasons which we would explain at the time.

Request your health records

Client details

First name *

Last name *

Previous family name

Also known as

Email address *

Phone number *

Residential address *

Postal address (if different)

Date of birth *

NHI (if known)

Is this information urgent? *

Date information required by (if not urgent)

Information requested

What service did you use? *

Do you want to receive the results or full health record? *

Details of the results you would like to receive

Date you used the service

How do you want to receive the information? *

How would you like us to send the information? Please provide details

Please provide your GP's name and the name of their medical centre.

I will email a copy of my ID to quality@gettestednz.org.nz *