For Patients and Visitors - Request for Medical Report 2025

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A request for information from medical records has to be made with the organisation that holds your records the data controller. For example, your GP practice, optician or dentist. For hospital records, contact the records manager or patient services manager at the relevant hospital trust.
The name(s) or other specific identification of the person or class of persons to whom information will be disclosed. A description of the purpose of the requested use or disclosure. In cases where a statement of the purpose is not provided, at the request of the individual is sufficient.
Information Included in Medical Records Typical medical records include: Patient identification, contact information, and date of birth. Billing and health insurance details. List of current and chronic ailments and diagnoses.
I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses notes; test results; consultations with specialists; referrals).]
Section 123110 of the Health Safety Code specifically provides that any adult patient, or any minor patient who by law can consent to medical treatment (or certain patient representatives), is entitled to inspect patient records upon written request to a physician and upon payment of reasonable clerical costs to make
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You should state that you require a copy of your medical records and specify whether you would like all or part of your records. You will often be able to submit your request by email or by post.
If requested by an individual, a covered entity must transmit an individuals PHI directly to another person or entity designated by the individual. The individuals request must be in writing, signed by the individual, and clearly identify the designated person or entity and where to send the PHI.
The Privacy Rule requires a covered entity to provide the individual with access to the PHI in the form and format requested, if readily producible in that form and format, or if not, in a readable hard copy form or other form and format as agreed to by the covered entity and individual. See 45 CFR 164.524(c)(2)(i).

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