Manitoba Health Records

In order to receive your Patient History Billing Statement from Manitoba Health, applicants must fill out and sign the authorization form below.  The fee to request this information is $50, payable to Manitoba Health at the time of the request, for the preceding one to ten years of the applicant’s billing history.  Turnaround time to receive the requested information is approximately 30 days depending on workload at the time.

If you have any questions, please contact the Audit & Investigations Unit at 1-204-786-7118 or 1-866-778-7730.

Patient History Request Form-revised

 

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