You can print a copy of the form below and enter your information. Requests must include your name, date of birth and mailing address, as well as the type of information you need. The request must be dated, witnessed and signed by one other person. You can choose to mail, deliver or fax it to us. Form to Request Access to Personal Health Record – English Form to Request Access to Personal Health Record – French Mail or Fax your request to: Sault Area Hospital Health Records Department 750 Great Northern Road Sault Ste. Marie, ON P6B 0A8 Fax: (705) 759-3703