Request your Medical Record (autonomous CCAA and HCDSNS)

What you need to have ready

1. Cl@ve Permanente, certificado FNMT or DNIe. Cl@ve PIN sometimes only shows basic stuff.
2. DNI/NIE and Tarjeta Sanitaria Individual (TSI) from your CCAA.
3. If requesting for someone else: libro de familia or tutela, authorisation and the patient’s DNI when needed.
4. Specify period and centres (e.g., “Hospital X, 2015–2020”). Saves you rounds.

Documentation

• Identification: DNI/NIE and strong authentication (Cl@ve Permanente/certificado/DNIe).
• Representation: minors (libro de familia), incapacitated people (resolución judicial), deceased (defunción + kinship/legitimate interest).
• Request for in-person or by registro: they give it at Admisión; online you can use the Registro Electrónico Común if your CCAA has no own procedure.
• Email/phone in case they need to clarify something.

Step by step

1. Access your CCAA Carpeta de Salud with Cl@ve Permanente/certificado. Search “Historia clínica”, “Mis informes” or “HCDSNS” and download the PDFs already there.
2. Check the HCDSNS: from your portal you’ll see reports from other CCAA (discharges, emergencies, consultations). General info here: https://www.sanidad.gob.es/profesionales/hcdsns/home.htm
3. Missing documents (e.g., evolution notes, consents, old tests)? Request them from the hospital: in person at Admisión/Archivo or electronically via REC (https://rec.redsara.es) addressed to the centre or your Health Service. Write: “Ejercicio de derecho de acceso a historia clínica”, state period, centre and what you want.
4. If you want images (RX/TC/RM), say so explicitly. They’ll give a download link or contact you to pick up a CD/USB with a DICOM viewer.
5. Wait for their reply (usually 1–4 semanas) and check what they give you. If there are gaps, file an ampliación citing specific episodes.

Time-saving tricks

• Narrow the dates. Asking for “everything since 1990” usually blocks the process and slows you down.
• Cl@ve Permanente + Chrome: fewer signature/download issues than other browsers.
• If you lived in several CCAA, check your Carpeta and the HCDSNS. Regional + interoperable records cover a lot without waiting for the archive.
• Save every PDF as you download. Some portals drop your session and it’s hard to get the files again.
• If you changed TSI/address, request unification of your record at the health centre to avoid duplicates.

Common mistakes that can ruin the request

1. Not proving representation (minors/deceased/incapacitated): instant denial.
2. Asking for “everything” without details: they send basic reports and nothing of the evolution/consents.
3. Relying only on SMS Cl@ve: limited access; use Permanente/certificado.
4. Forgetting images: reports may be there, but the DICOM won’t; request it separately.
5. Not using REC when there’s no procedure: you’ll be left waiting. The REC (https://rec.redsara.es) lets you file a legally valid request to your hospital/Health Service.