this request is powered using MedChart logo

Patient Information

Welcome to Westway Medical Clinic 's release of information process. Please complete the following steps to submit your request.
*
*
Province *
(YYYY-MM-DD) *
Patient *
Not submitting a healthcard number may result in your request taking longer than usual or risking rejection.
Please ensure that all information submitted here matches the patient's health card. Providing information that does not match the health card will incur slower processing and the possible rejection of the request.

© medchart 2019 All Rights Reserved