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  • Tx Methodist West Houston Hospital Request For Patient Records 2012

Get Tx Methodist West Houston Hospital Request For Patient Records 2012-2025

I authorize: to release ALL BREAST IMAGING & REPORTS. ALL BREAST IMAGING & REPORTS MUST BE MAILED TO: Methodist West Houston Hospital Breast Center 18500 Katy Freeway Houston, Texas 77094 Patient Signature: Date: Below is for Methodist West Houston Hospital staff to fill out: Date: To: Fax: Call 832-522-0016 when ready for cour.

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(b) Maintenance of Medical Records. (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.

Many records are available through the MyChart patient portal. MyChart is easy to set up via app or online in MyChart. If additional records are requested an authorization is required. Obtain a paper authorization from the hospital and return by fax at 800-833-5935.

TEXAS ALLOWABLE CHARGES Paper format: The provider may charge no more than $25 for the first twenty pages and $. 50 per page for every copy thereafter. For example, if a record is 25 pages, the provider may charge $27.50 ($25 + 5 x . 50 = $27.50).

How you make your request will depend on your provider's processes. You may be able to request your record through your provider's patient portal. You may have to fill out a form — called a health or medical record release form, or request for access—send an email, or mail or fax a letter to your provider.

The estimated total pay for a Sr. Patient Access Representative at Houston Methodist is $40,262 per year.

Patient Records Access Houston Methodist Hospital: 713.441. 2401. Houston Methodist Sugar Land Hospital: 281.274. 7814.

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.

The HIPAA privacy rule requires HHS to give anyone who asks in writing copies of their records maintained by or for HHS. We do this through the Open Records Division. If there is a cost to get your records, we will send you a letter to let you know how much it will cost.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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