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Manus Island Medical information release authority

Medical information release authority form

If you would like to authorise Slater and Gordon to request a copy of your medical records from IHMS for use in reviewing the assessment of your claim, you can complete the form below and return it to Slater and Gordon.


Medical information release authority

 

To: The Commonwealth of Australia and IHMS

Dear sir or madam,

I request and authorise IHMS to provide a copy of all medical records it holds concerning me (including mental health records) to Slater and Gordon Lawyers, in Melbourne, Australia.