RELEASE OF MEDICAL RECORDS
This office is happy to send records to any requesting physician
free of charge as long as we have authorization from the
patient to do so. We prefer to have this authorization in
writing. However, if this patient is well known to us and
it is an emergency situation, there may be instances where
we waive this and accept a phone authorization. If no one
in our office is familiar with the patient’s voice,
we will accept a faxed authorization.
In the event an insurance carrier or attorney is requesting
medical records, we will require a signed authorization
in our hands before releasing the medical records. The insurance
company or attorney will be charged according to the size
of the chart and payment must be received before the records
are released. Every effort will be made to send the chart
the week payment is received, however the time frame may
be longer, if a staff member is on vacation or if the office
is extremely busy.
Patients may also receive copies of their chart for a fee.
The first 25 pages will cost $25. If there are less than
25 pages, the flat rate is still $25. If there are more
than 25 pages, the additional pages will be charged at 10
cents each. The fee must be received before the chart is
copied. We will make every effort to have the copies ready
to be picked up in two weeks.
PATIENT REVIEW OF MEDICAL RECORDS
Patients also have a right to review their medical record.
Any patient who wishes to review their medical record, shall
call and schedule an appointment with Marilyn to sit down
and go over their chart. The first 15 minutes is free of
charge. After 15 minutes the patient will be charged $25
per fifteen minutes.
If a patient disagrees with a chart entry, they may request
a revision in writing. The patient will then be informed
in writing if the revision is made, if not the reason for
no revision will also be explained.. The patient’s
request will be made a permanent part of their medical record.