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Request for Access to Personal Information

Requests for access to personal information under the custody and control of Canadian Blood Services can be made by submitting a written request. These types of requests include such things as:

  • blood type/group
  • donation history
  • blood test results
  • HLA typing results, and
  • any other miscellaneous personal health information under the custody and control of Canadian Blood Services

When you make a written request for access to your personal information, Canadian Blood Services needs to confirm your identity and obtain your written authorization allowing us to release your personal information. This is a precaution we take in order to protect your personal information.

Please print either Form A or Form B below, as appropriate.

Form A - Individual Request and Consent for Release of Personal Information for Donor, Patient, Recipient, or Research Participant, 17 years of age or older.

Form B - Third Party Request and Consent for Release of Personal Information for Parents, Guardians or Legal Representatives of an individual who is incapable of giving his/her own consent.

Complete and sign the form and provide a legible photocopy of your Canadian Blood Services' Donor ID Card plus one other piece of signed/photo identification (front and back). If you do not have a Canadian Blood Services Donor ID Card in your possession, please provide a photocopy (front and back) of an alternate signed piece of identification. Return the form along with copies of your identification to the Access to Information office for processing via email*, fax or regular mail as indicated below.

Access to Information Office
Canadian Blood Services
1800 Alta Vista Drive
Ottawa, ON K1G 4J5
Tel.: (613) 739-2483
Toll Free: 1-877-262-9191
Fax: (613) 739-2345
Email: ati@blood.ca

Your request for access to personal information will be processed within thirty calendar days of receipt of the request. If the request cannot be processed within thirty calendar days, due to the complexity of the request, the Access to Information Office may extend the time limit for a further period of no more than thirty calendar days. Should this be the case, the Access to Information Office will provide you with a written explanation, including the additional days required to fulfill the request.

We will make every reasonable effort to respond to urgent requests as expeditiously as possible.

Should you have any questions or if you are unable to print Form A or B and would like us to mail or fax it to you, please contact us by phone, email, fax or mail (as set out above).

* Please Note: Sending information via email may result in the unauthorized viewing, use, disclosure or distribution of your personal information during transmission. Should you choose to submit your Request and Consent to Release Personal Information form via email, and/or choose to have Canadian Blood Services provide your personal information to you or a third party via email, you understand that Canadian Blood Services assumes no responsibility for the security of your personal information during transmission. You agree not to make any claims against Canadian Blood Services in respect of any damages suffered as a result of any unauthorized viewing, use, disclosure or distribution of your personal information if you choose to receive or send it by email.


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