Request a copy of your medical records by completing this online form or by writing to us at the following address:

Medical Records Department
Hermitage Clinic
Old Lucan Road
Dublin 20
D20 W722

Please include the timeframe of the medical records you’re asking for (for example, January 2015–December 2020) and supply a copy of your passport.

In your letter, please state your:

• first name
• surname
• maiden name (if relevant)
• date of birth
• contact phone number
• current address

We aim to process record requests within 1 month.

It is usually free to obtain a copy of patient medical records. We may charge a fee if a request is repetitive or deemed excessive.

Give consent to share your medical records

There may be a time when you need to give a third party, such as your GP or a family member, access to your records.

If you need to give us consent to share your records, send a signed letter to the address above stating that you wish to do so.

We will only share your records with a third party when we have your consent.

Access the records of a patient who has passed away

When a patient passes away, next of kin or family members may need a copy of their medical records.

Please request patient records in writing to the address above. Please supply:

• a photocopy of your passport, driving licence or other official form of ID
• proof of your relationship to the deceased person