Requests to view medical records

If a patient who was treated at the Motol University Hospital (MUH), or a person authorised by them, or a person close to them (hereinafter referred to as the Applicant), requests to view the medical documentation (MD) kept at the Motol University Hospital, or if they request to make an extract, transcript or copy of the medical documentation or part thereof, they must fill out the attached form entitled “Protocol on Viewing Medical Documentation, or on Making Extracts or Copies”.

Protocol on Viewing Medical Documentation, or on Making Extracts or Copies 

The request will not be processed without completing the protocol.

The protocol should indicate the scope and form of the requested information, the manner of receipt, and the relationship to the patient. It is necessary to specify the scope of what is to be viewed or give the number of copies to be made from the MD.

Data options:

  • complete medical records from the entire MUH
  • complete medical records from individual healthcare facilities for a certain period
  • an autopsy report
  • copies of images from imaging methods (X-ray, MRI, CT, etc.) on CD media

Send the completed form by e-mail to nlpp@fnmotol.cz or by post to:

Motol University Hospital
Secretariat of the Deputy Director for Medical Preventive Care
V Úvalu 84
150 06, Praha 5

It is also possible to personally submit the completed form to the filing office, the relevant healthcare facility, or the secretariat of the Deputy Director for Medical Preventive Care. All applications must contain the details listed in the table below.

If you have any queries, please contact the secretariat of the Deputy Director for Medical Preventive Care or call 224 431 026.

Whilst providing health care, if the patient has not used the “Informed Consent” to designate the applicant as a person who may be informed about his/her health condition, or view the medical documentation kept about him/her or other records related to his/her health condition, or obtain extracts or copies of these documents, the applicant is obliged to prove the relationship to the patient by submitting the relevant documents. See table below.

Applicant  Conditions for providing information from the medical records of patients Applicant identity verification 
Personally by the patient without approval ID card
Relative of the patient an entry in the “Informed Consent” where the patient being treated or the legal representative agrees to providing information about the state of health from the medical records

power of attorney with the written consent of the patient being treated

ID card, proof of family relationship, e.g. birth certificate, affidavit about a close relative
A relative of the patient after their death an entry in the “Informed Consent” where the patient being treated or the legal representative agrees to providing information about the state of health from the medical records, there must be no interdiction on the patient ID card

proof of family relationship with a birth certificate or an affidavit about being a close relative