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Legal Health Record Definition and Role The legal health record is the documentation of healthcare services provided to an individual during any aspect of healthcare delivery in any type of healthcare organization.
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C.S. §§ 6152, 6152.1 and 6155 (relating to subpoena ofrecords; limit on charges; and rights of patients), a health care provider or facility is allowed to charge a fee in response to a request for medical charts or records. The Secretary of Health (Secretary), under 42 Pa.
Rights of patients. (1) A patient or his designee, including his attorney, shall have the right of access to [all of] his medical charts and records and to [photocopy] obtain photocopies of the same, without the use of a subpoena duces tecum, for his own use.
In most cases, you'll need to fill out a form and then make a request in writing. While it's possible your primary physician could have a complete version of your records, if you have seen multiple providers you may want to request a copy from each to ensure completeness.
In Pennsylvania, doctors must keep medical re- cords for seven years after the last treatment date. In the case of minor children, medical records must be kept for one year after the age of major- ity or for seven years, whichever is longer.