Record Transfer
It always saddens us when patients leave the practice. If you should need to leave, we hope you will be willing to tell us why, so that we can use that information to help make us better in the future.
When patients leave, we will be happy to provide a summarized copy of their records at the family’s request. Please give us 30 days advance notice for this service.
Medical records are provided on compact disk or paper only
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Medical records will be provided on compact disc if a preference is not specified. Medical records to be provided on a compact disc are free of charge.
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Medical records provided on paper are $25. Medical records can be expedited in certain circumstances for an additional fee.
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If the patient/s account holds a balance with our office, the medical records will cost $50.
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If a second copy of the medical records on compact disk is requested at any time, there is a fee of $25. Fees for second copies on paper remain additional.
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Fees for (any of the above) special requests will be due upon turning in your request.
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Requests for medical records by specialists to whom we have referred your care, will be provided in summary form free of charge.
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Additional fees will apply for records requests by attorneys and insurance companies because of the nature of their requests. Those fees are traditionally paid for by the requesting party.
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We are not permitted by law to release any documents which have not been created by our practice. If you desire copies of another provider’s medical records, you will need to request them from the provider of origin.
Click here to view and print the form required to release your child’s records. Click here if you are a new patient and would like to have your previous doctor’s records sent to us. Please fill out the applicable form and mail or fax it to our office.