Request access to your medical records and understand our privacy policies.

Medical Records

Fair Health Wellness Center maintains comprehensive medical records for all patients. We are committed to protecting your privacy and ensuring that your medical information is secure and accessible when needed.

Requesting Your Medical Records

You have the right to access your medical records. To request a copy of your records, you can:

  1. Complete a Medical Records Request Form, available at our front desk or downloadable from our patient portal
  2. Submit your request through our secure patient portal
  3. Call our Medical Records Department at (555) 123-4567 ext. 2

Please note that we require a signed authorization form for all medical record requests. This is to protect your privacy and ensure that your information is only released with your consent.

Processing Time

We process medical record requests within 7-10 business days. Rush requests may be accommodated in certain circumstances, such as for urgent medical care.

Fees

In accordance with state regulations, we may charge a reasonable fee for copying and providing medical records. The fee structure is as follows:

  • Electronic copies: $0.50 per page (maximum $25)
  • Paper copies: $0.75 per page (maximum $50)
  • Shipping/handling: Actual cost

Fees may be waived if the records are being requested for continuing medical care.

Privacy Practices

Fair Health Wellness Center is committed to maintaining the privacy of your health information. Our privacy practices comply with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws.

You can request a copy of our Notice of Privacy Practices at our front desk or view it on our website. This document explains how we may use and disclose your health information, as well as your rights regarding your medical records.

Medical Records Release to Third Parties

If you would like us to release your medical records to another healthcare provider, insurance company, or other third party, we require a signed authorization form. The form must include:

  • Your full name and date of birth
  • The name and contact information of the recipient
  • A description of the information to be released
  • The purpose of the disclosure
  • An expiration date or event
  • Your signature and the date

Questions About Medical Records

If you have questions about accessing your medical records or our privacy practices, please contact our Medical Records Department at (555) 123-4567 ext. 2 or email us at records@fairhealthwellness.com.

Related Documents

Medical Records Request Form

Required form for requesting your medical records

180 KB

Authorization for Release of Information

Form to authorize release of your records to third parties

195 KB

Notice of Privacy Practices

Detailed information about how we protect your medical information

220 KB

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