A fee of $10 is charged to patients who request paper copies of their medical records. A fee of $6.50 is charged to patients who request electronic copies of their medical records. You may select the method to receive your electronic copies, such as via email or on a CD or USB. Should you choose to receive your records on CD or USB, Texas Diabetes & Endocrinology will provide the device.
If you need copies of your records, please fill out the Authorization for Release and Disclosure of Protected Health Information. If you are requesting your records to be sent via email, please also complete the Email Consent Form. Our goal is to provide you complete copies of your records in a timely manner. For further information please call (512) 458 – 8400 extension #1627 or email email@example.com.
Please be advised that we cannot request your medical records from other offices. We are prohibited by HIPAA to request them unless the request is to the referring doctor. We ask that you contact the office and request that the records be sent to us.
Please fax your completed release of information to 512-372-1074.
If our office is required to complete an affidavit for medical records, a fee of $15 will be billed to the requesting attorney.