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Attachment 3 Mail/File (Circle One) SHASTA COUNTY MENTAL HEALTH SHASTA COUNTY ALCOHOL/DRUG PROGRAM FOR M 1 6 - 1 AUTHORIZATION FOR USE OR DISCLOSURE OF PSYCHIATRIC/ALCOHOL-DRUG INFORMATION Completion.

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Yes, pursuant to Health & Safety Code section 123110, a doctor can charge 25 cents per page plus a reasonable clerical fee.

Documentary Transfer Tax is due on all taxable conveyances in excess of $100 at a rate of $. 55 per $500 or fractional portion of the real property value, excluding any liens or encumbrances already of record as required. It is collected at the time of recording on each deed, or instrument.

Federal laws govern the privacy protection of medical records, along with some state laws. California medical records laws state that a patient's information may not be disclosed without authorization unless it is pursuant to a court order, or for purposes of communicating important medical data to other health care ...

Section 123110 of the Health & Safety Code specifically provides that any adult patient, or any minor patient who by law can consent to medical treatment (or certain patient representatives), is entitled to inspect patient records upon written request to a physician and upon payment of reasonable clerical costs to make ...

Can a doctor charge me for copies of my medical records or x-rays? Yes, pursuant to Health & Safety Code section 123110, a doctor can charge 25 cents per page plus a reasonable clerical fee. For diagnostic films, such as an x-ray, MRI, CT and PET scans, you can be charged the actual cost of copying the films.

Section 123110 of the California Health and Safety Code gives patients the right to inspect their records and obtain copies by making a written request to whoever has the records. A patient must be willing to pay reasonable costs in locating and making the records available.

The “personal representative” has a right under California and HIPAA to access a deceased patient's (“decedent”) records. This individual is the only person who, by law, has the authority to authorize access to or release a copy of a decedent's records, with limited exceptions.

Is it ethical if my physician refuses to provide me with a copy of my medical records or is charging a fee for copying my records? The Code states that physicians should make medical records available as requested by the patient and that a reasonable fee may be charged for transferring medical records (see Opinion 3.3.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232