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- Records Request - Dallas Regional Medical Center
Get Records Request - Dallas Regional Medical Center
1011 N Galloway Avenue, Mesquite TX 75149 Phone: 2143207158 Fax: 8337140350AUTHORIZATION FOR RELEASE, USE AND DISCLOSURE OF HEALTH INFORMATION Patient Name: Date of Birth: Address: Phone Number: Fax.
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Custodial FAQ
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The Department of State Health Services is committed to providing full access to public information. To request records under the Texas Public Information Act: Submit a request in writing via U.S. Mail, fax or email. Include contact information and a clear description of the records you are requesting.
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Request for Medical Records Medical record copies can be released electronically, via email or on paper. You may ask questions about releasing your information by calling COIX at (888) 749-7952. Follow these instructions for completing the Authorization for Use or Disclosure of Protected Health Information.
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How do I get my medical records? Put your request in writing and send it to the physician's address listed on the physician's Profile on the TMB website. You can also contact the TMB to determine if a custodian of records has been reported.
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No more than $25.00 for the first 20 pages; then, $0.50 per page for every copy thereafter. In addition, actual cost of mailing or shipping.
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The Department of State Health Services is committed to providing full access to public information. To request records under the Texas Public Information Act: Submit a request in writing via U.S. Mail, fax or email. Include contact information and a clear description of the records you are requesting.
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(1) A licensed physician shall maintain adequate medical records of a patient for a minimum of seven years from the anniversary date of the date of last treatment by the physician.
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Texas law gives a deadline of 15 business days to provide medical records upon receipt of a request and any agreed upon fees. This same deadline also applies if the physician feels it would be harmful to release copies of medical records to a patient.
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If you can't find what you are looking for, please call Dallas Regional Medical Center's main switchboard at (214) 320-7000.
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