Medical Records

You must fill out and sign an authorization form, linked above, show photo ID and pay the charge for copying. Copies may be sent directly to other health care providers at no cost.

Please allow 5 to 10 business days for your request to be processed. We may require longer time if a large number or older records are requested. We prioritize requests that are needed for continuity of care.

Obtaining a copy of your medical record requires a $10 fee to retrieve the records and $0.50 per page. However, we will send copies directly to other health care providers at no cost.

The record includes any reports on the results of X-rays, ultrasounds, CT scans and MRIs, but a copy of the actual images on a CD must be specified.

If these are requested by a health care provider, there is no charge. However, a personal copy requested by the patient has a $5 charge per CD.

The authorization form can be faxed, mailed, or emailed, but we do require a copy of photo ID. If the patient does not furnish us with photo ID, they can do so when they come in to pick up their records.

Fax, email, or mail the authorization form, along with a copy of photo ID.

Yes. There is no charge to simply look at your record in our office. You can also access your records through Patient Connect.

No. To protect the confidentiality of your information, we need to verify identity. In addition, we are not clinical personnel and cannot explain test results or other information.

We can only fax medical information to a health care provider’s office upon request.

Yes, a copy of your records can be sent at no cost to another doctor or health care provider.

Physicians who are caring for the patient and request records from us do not need an authorization form. They may call or fax their request. We consider this follow-up patient care.

You can have information added to make your record to make it more complete or accurate. This is called the “right to amend” your record. In certain cases, your provider can deny this request; in that situation, you have the right to add a short statement of your own to the record.

• Patients Right to Amend

Only if your spouse has an active power of attorney in effect, and only for the records relevant to making decisions on your care. If there is not an active power of attorney, your spouse cannot access your records.

Spouse: You may only access your spouse’s records with an active power of attorney for his or her medical care.

Child: A parent may usually access his or her minor child’s (under 18) records. However, there are certain cases in which this may not be permitted, such as if a health care provider reasonably believes there may be child neglect or abuse, or for certain types of medical treatment such as STD (sexually transmitted disease) testing.

A person under 18 who is married is considered emancipated, and a parent may not access his or her medical records.

No. Once children reach the age of 18, they must sign their own release to give consent for a parent to access their medical records.

If you are the personal representative of the deceased person’s estate (such as executor or administrator), you have the right to get that person’s records from a health care provider. However, if there is no personal representative, those records may be accessed by the following in the order listed:

• A surviving spouse
• A parent
• An adult child
• An adult sibling
• Another person authorized by law to act for the deceased person

Understand your rights under HIPAA to access and receive a copy of your health information:

• Office for Civil Rights: Your Rights Under HIPAA

Records of alcohol and drug treatment may be subject to additional privacy rules:

• Confidentiality of Substance Use Disorder Patient Records