How to access your own medical records or the records of someone who has passed away.

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

Get in touch

If you're a patient or past patient of Hermitage Clinic and would like a copy of your medical records, please fill out this online form.

 (in intl format e.g. +353 85 012 3456)

Please tick below if you need to request records from any of the following departments:

In order for us to verify your identity, we’ll follow up with an email asking you to provide a copy of one of the following. Please tick the document you intend to provide:

Records can be sent to your address or via secure, encrypted email to the email address provided in this form. Please specify how you wish to receive your records: