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Medical Records in Paper Form
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 Medium
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

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:
- 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
- Workman’s Compensation: $5.00 plus $0.50 per page for
first 20 pages; $0.30 per page thereafter.
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