Dr. Johnny Wong Former Patients - Medical Records Request

Please be advised that Magenta Health’s role is limited to the storage and management of Dr. Wong’s former patient records. Kindly note that we do not have any further details regarding his practice closure. Any other requests or questions regarding Dr. Wong that are submitted to Magenta Health will not receive a response.

Name

First Name

Last Name

OHIP Number

Phone

(###)

###

####

Records Requested

Receiving my Records:

I understand that I will receive my records via email through Tracument (our secure document delivery vendor) with a pre-payment invoice.

Acknowledgements:

I understand there may be an administrative charge for this request.

I understand that it may take up to 10 business days to complete this request.

I understand that this form should not be used for any other type of request / any other types of request will not be answered.