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Medical Records in Paper FormAK Copy - Release of confidential Medical Information

Each hospital charges the following fees for the copying of health care information. Additionally, the hospital charges the actual cost of mailing, shipping or otherwise delivering the provided copies.

1-10 pages: $39.35
11-60 pages: $1.33 per page
61-400 pages: $0.66 per page
More than 400 pages: $0.34 per page

Records Stored on Other MediumAK Copy - Release of confidential Medical Information

If the requested records are stored on any microform or other electronic medium, the hospital charges the following fees. Additionally, the hospital charges the actual cost of mailing, shipping or otherwise delivering the provided copies.

1-10 pages: $59.95
Subsequent pages: $1.33 per page

 

Exceptions
AK Copy - Release of confidential Medical Information

Local, state or federal agencies requesting health care information may be entitled by statute to a different fee. The agency should inform the hospital of this fact, or information can be obtained from the Legal Department.

Other Charges

The hospital may charge a reasonable fee for:

  1. Execution of an affidavit or certification of a document, not to exceed the charge authorized by Section 22.004Execution of an affidavit or certification of a document, not to exceed the charge authorized by Section 22.004, Civil Practice and
  2. Remedies Code; and
    Written responses to a written set of questions, not to exceed $13.31 for a set.
  3. Workman’s Compensation: $5.00 plus $0.50 per page for first 20 pages; $0.30 per page thereafter.


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