Request for access to and a copy of the medical record (Spain)

€1.38This document is sold blank, to print and complete by hand.

This document is in Spanish

The PDF you download is in Spanish — that is the language it has to be filed in, so it is not translated. Everything on this page is here to tell you what it says.

Fill out the form

This document is sold blank, to print and complete by hand.

  • Instant download after payment
  • Backup link emailed to you
  • No account needed

A Spanish letter, in Spanish, for a patient who wants to see and copy their medical record in Spain, for their representative, or for a relative of a deceased patient. It exercises the right of access under Article 18 of Spanish Law 41/2002 and Article 15 of the GDPR before a hospital, health centre or private clinic: it names the documents, the period and how the copy is to be delivered, and recalls the one-month deadline and that access is free. Hand it in at the patient or admissions service or send it by certified post; to a public centre, also through a public registry. It holds health data, so it is sold blank and filled in by hand.

  • Made for use in Spain
  • Last updated October 20, 2026

Published byDocMuse

When to use this document

  • You want a copy of your medical record from a hospital in Spain.
  • You are changing doctors and need your test results and discharge reports.
  • A close relative has died and you want to see the hospital's records of the last stay.
  • You want to ask the health centre in writing for your full medical history.

What you fill in

The details the document asks for.

  • Sender
  • Sender's address
  • Sender's DNI or NIE (Spanish identity number)
  • Health centre (hospital, health centre or clinic)
  • Practice or hospital postal address
  • City
  • Date
  • Medical record or health card number (optional)
  • In what capacity you make the request
  • Patient
  • Patient's date of birth
  • Documents requested (the whole record or specific reports)
  • Period or episode of care (dates, department)
  • How the copy is to be delivered
  • Attachments

Common questions

How fast, and at what price, must a Spanish centre give me a copy of my medical record?
Within one month of receiving the request, extendable by two more months for complex requests if you are told within the first month (Article 12.3 GDPR). According to the Spanish Data Protection Agency (AEPD), access is free; a reasonable fee may be charged only for further copies or repeated requests. If the centre does not answer or refuses without reason, you can complain to the AEPD.
Does a Spanish hospital have a free form for requesting the medical record?
Many centres publish their own free «solicitud de documentación clínica» form (for example the University Hospital of Salamanca or the San Cecilio University Hospital in Granada), and in Andalusia some reports can be seen in ClicSalud+. You may use that form; this letter works for any centre, public or private. A public centre in Catalonia, Valencia, the Balearic Islands, Galicia, the Basque Country or Navarre must also accept the region's co-official language.
Can I ask for the medical record of a deceased relative in Spain?
Yes, if you had a family or de facto tie with the patient, unless the deceased expressly forbade it and this is shown (Article 18.4 of Spanish Law 41/2002). Information affecting the deceased's privacy, the professionals' subjective notes or third parties will not be released. Enclose a document proving the tie, such as the family book (libro de familia).

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

DocMuse sells documents, not legal advice. Acceptance always depends on the recipient's rules and your local law.

Related documents

  • Claim for reimbursement of medical expenses from a health insurer (Spain)

    A Spanish letter, in Spanish, for a person covered by a private health insurance policy with expense reimbursement in Spain who has paid for a consultation, a test or a treatment and wants back what the policy covers. It claims the refund from the insurer under Article 105 of the Spanish Insurance Contract Act, lists the care, the invoices, the amount and the IBAN, and asks for any refusal to be explained in writing. Send it by certified post, burofax or the insurer's customer area. It holds health data, so it is sold blank and filled in by hand.

  • Complaint to a hospital's patient service (Spain)

    A Spanish written complaint, in Spanish, for a person treated at a public hospital or health centre in Spain, or a relative, who wants to complain in writing about the care: an excessive wait, a cancelled appointment, poor treatment, a lack of information. It is addressed to the patient service (servicio de atención al paciente), asks for the facts to be looked into and for a reasoned answer within the period set by the region's rules. It is not a claim for compensation. File it at the service itself, at any public registry office, at a post office or online. It holds health data, so it is sold blank and filled in by hand.

  • Advance healthcare directive (Spain)

    For anyone who wants to set down their values and decisions about the treatments they accept or refuse, in case they cannot express them one day, and to name a representative to the healthcare team. Each Spanish autonomous community regulates this document and has its own registry and often a free model: if there is one, you may use it. It is sold blank and filled in by hand, because it holds health data. It is formalised before a notary, witnesses or the registry, as your community allows, and entered in the regional registry. In Spanish.

  • Authorisation to take a minor to medical appointments (Spain)

    For parents who cannot take their child to the paediatrician, a check-up, a vaccination or A&E and ask a grandparent, carer or summer camp to do it. Many Spanish health centres and hospitals have their own free authorisation form: if the centre asks for it, use theirs. This authorisation lets the carer accompany the child and receive the professionals’ instructions; health decisions remain the parents’. Both parents sign it and the authorised person carries it with their ID. In Spanish.