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PAIA / Sections / Section 61
Section 61

Access to health or other records

Part 3 · Access to Records of Private Bodies · Chapter 3 — Manner of Access

(1) If the head of a private body who grants, in terms of section 50, a request for access to a record provided by a health practitioner in his or her capacity as such about the physical or mental health, or well-being— (a) of the requester; or (b) if the request has been made on behalf of the person to whom the record relates, of that person, (in this section, the requester and person referred to in paragraphs (a) and (b), respectively, are referred to as the “relevant person”), is of the opinion that the disclosure of the record to the relevant person might cause serious harm to his or her physical or mental health, or well-being, the head may, before giving access in terms of section 60, consult with a health practitioner who, subject to subsection (2), has been nominated by the relevant person.

(2) If the relevant person is— (a) under the age of 16 years, a person having parental responsibilities for the relevant person must make the nomination contemplated in subsection (1); or (b) incapable of managing his or her affairs, a person appointed by the court to manage those affairs must make that nomination.

(3) (a) If, after being given access to the record concerned, the health practitioner consulted in terms of subsection (1) is of the opinion that the disclosure of the record to the relevant person, would be likely to cause serious harm to his or her physical or mental health, or well-being, the head may only give access to the record if the requester proves to the satisfaction of the head that adequate provision is made for such counselling or arrangements as are reasonably practicable before, during or after the disclosure of the record to limit, alleviate or avoid such harm to the relevant person. (b) Before access to the record is so given to the requester, the person responsible for such counselling or arrangements must be given access to the record.

[S 61(1) substituted by s 41 of Act 42 of 2001.]
health recordsserious harmhealth practitionersafeguardconsent
Beyond the text

What this means in practice

  • Special care applies to health records: if disclosure might cause serious harm to the person's physical or mental health, the head may first consult a health practitioner nominated by that person.
  • For under-16s, or people who cannot manage their affairs, a parent/guardian or court-appointed person makes the nomination.
  • If the practitioner confirms a risk of serious harm, access is only given once adequate counselling or arrangements are in place.
Relevant tool

PopiGuard flags health-record requests for the s.61 safeguard — so sensitive disclosures follow the consultation route, not a reflex release.

See PopiGuard →