Texas Sample Letter for Request for Medical Records

State:
Multi-State
Control #:
US-0546LR
Format:
Word; 
Rich Text
Instant download

Description

Sample Letter for Request for Medical Records

How to fill out Sample Letter For Request For Medical Records?

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FAQ

All requests for release of medical records information must be accompanied by an authorization form signed by the patient and a photo ID. If a patient has a representative, the representative would need to provide a copy of the Medical Power of Attorney.

Can I view my medical records? Yes. You have a legal right to see your own records. You do not have to explain why you want to see them.

Access can be limited or denied if it would be "likely to cause serious harm to the physical or mental health or condition of the data subject or any other person", unless it is information of which the patient is already aware.

If the patient wrote a personal letter requesting records, make sure the following patient information was in the original request:Date of birth.Name.Social Security number.Contact information (address and phone number)Email address.Dates of service and specific records requested (tests, discharge notes, etc.)More items...

The subject line of your request should be "FOIL Request". Please inform me of the cost of providing paper copies of the following records include as much detail about the records as possible, including relevant dates, names, descriptions, etc..

Mail a written request for records to the physician by certified mail, return receipt requested. This method provides assurance that the request was delivered. State law allows a patient to obtain a copy of their records, or ask that a copy be sent to a new doctor or someone else, such as an insurance company.

What information should be included in a patient's medical records?The initial health history and physical examination from the doctor.Consultation reports from specialists, as well as any notes.Operative reports / Medical procedure reports.More items...?

The Texas Medical Board (TMB) has since adopted rules setting the maximum cost of copies. Under these rules, physicians may charge no more than $25 for the first 20 pages and 50 cents for each page thereafter for medical records provided in a paper format.

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Texas Sample Letter for Request for Medical Records