Last revised: 18 Apr 2023
When a parent registers their newborn for Medicare they can choose whether the newborn will get a My Health Record. If they choose not to create a record for the child, they can still do so any time before their 14th birthday.
For children aged up to 14 years old, a parent/guardian typically manages their record as an authorised representative and makes decisions about access by healthcare organisations. The parent/guardian can view information in the child’s record until the child’s 14th birthday, including clinical documents, Medicare Benefits Schedule (MBS), Pharmaceutical Benefits Schedule (PBS) and immunisation records.
When a child turns 14, the parent/guardian is automatically removed as an authorised representative and they can no longer access the child’s record. This is consistent with the legal rights of a competent minor to seek medical care without the knowledge and consent of a parent/guardian.
A child can appoint their parent/guardian (or other trusted persons) to be a nominated representative. The nominated representative can view the record or help manage it, depending on the level of access they are granted. A parent/guardian who believes the child does not have capacity to manage their own record can apply to continue to act as the child’s authorised representative and have control of the record.
Did you know you can now log your CPD with a click of a button?
Updated legislation The My Health Records Rule 2016 has been replaced by the My Health Records Rules 2026, effective 1 April 2026.
A six-month transition period applies to existing participants (registered before 1 April 2026), with full compliance required by 1 October 2026. During this time, general practices may continue to apply the 2016 Rule.
New participants (registered on or after 1 April 2026) must comply with the 2026 Rules.
Requirements for a Security and Access Policy, formerly Rule 42 in the 2016 Rule, have been updated and renumbered in the 2026 Rules to Rule 43.
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