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Request for the health records of someone who has died (Northern Ireland)
Northern Ireland · in English
€2.00This document is sold blank, to print and complete by hand.
Made for use in Northern Ireland
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This document is sold blank, to print and complete by hand.
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For the executor or administrator of someone who has died in Northern Ireland, or a person who may have a claim arising out of the death. An application under Article 5(1)(e) of the Access to Health Records (Northern Ireland) Order 1993 to a GP practice or a health and social care trust: it names the patient and their Health and Care Number, says in which capacity you apply, lists the records wanted and asks for them within 21 or 40 days. Enclose the death certificate and your evidence. Posted first class. Sold blank, to complete by hand.
- Made for use in Northern Ireland
- Last updated October 29, 2026
- Document in English
Where a UK document reproduces the words of legislation or of a government publication — UK, Scottish or Northern Irish — it contains public sector information licensed under the Open Government Licence v3.0.
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When to use this document
- Your mum died in hospital in Northern Ireland and, as her executor, you want her medical records.
- You want to understand what happened in the last weeks of a relative's care before they died.
- The Trust told you next of kin cannot see the records, but you are the administrator of the estate.
- You are thinking about a claim after a relative's death and need their GP notes first.
What you fill in
The details the document asks for.
- Sender
- Sender's address
- Town or city
- Sender's postcode
- Date
- Recipient
- Recipient's address
- Recipient's postcode
- Full name of the person who has died
- Date of birth of the person who has died
- Date of death
- Health and Care Number (if known)
- Capacity in which you apply
- Information requested
Common questions
- Who has a right to see a dead relative's health records in Northern Ireland?
- Under Article 5(1)(e) of the Access to Health Records (Northern Ireland) Order 1993, the patient's personal representative (the executor or the administrator of the estate) and anyone who may have a claim arising out of the death. Next of kin as such have no right under the Order, though the trust or practice may choose to share information. A claimant is given what is relevant to the claim, and a record the patient asked to keep from such an application is not disclosed.
- Does an HSC trust or GP practice have its own form for a deceased patient's records?
- Many health and social care trusts and GP practices publish a free application form for a deceased patient's records; use it if they ask you to, and attach this letter if you wish. They have 21 days where the records were added to in the 40 days before your application, and 40 days otherwise. Enclose the death certificate, proof of your identity and evidence of your capacity or your claim. The Department of Health says the Order covers records made from 30 May 1994.
- Why is a deceased relative's record not a subject access request in Northern Ireland?
- The UK GDPR protects only living people. In Northern Ireland a deceased patient's records are asked for under the 1993 Order, which survives for that purpose; in England, Wales and Scotland the Access to Health Records Act 1990 applies instead. Concerns about the care the person received are a separate matter: a complaint to the trust or practice under the health and social care complaints procedure, then the Northern Ireland Public Services Ombudsman.
How you can sign this document
- Print it and sign by hand. The signature lines in the document are left blank on purpose — sign on them in ink.
- Sign it yourself with a qualified electronic signature. If you already hold a QES — Evrotrust, B-Trust, StampIT, ZealiD or any qualified provider on the EU Trusted List, on a card, a USB token, in a mobile app or in the cloud — our signing guide explains step by step how to sign this exact file without invalidating it. Step-by-step help, and a way to check it worked
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