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Medical Records

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Patients may obtain their medical records with the proper authorization.

These include diagnostic imaging records and billing information.

Medical Records

Request Process

A signed authorization for release of protected health information is required to release medical records.

Due to the requirement for a signature on the authorization form, employees of Hunt Memorial Hospital District (HMHD) are not permitted to accept requests for medical records by e-mail.

The person signing the authorization form needs to include a copy of a valid photo identification card. Any of the following forms of identification are acceptable:
  • a driver’s license
  • a photo ID from work
  • a military ID
  • any other type of photo identification that includes the requesting party’s name
Additionally, if you are the patient’s court appointed legal guardian or the patient’s Power of Attorney you must provide photocopies of the documents establishing your right to sign the authorization form on the patient’s behalf.

Print and complete the authorization form, sign the form, attach a copy of photo identification, and mail to the HMHD location where you were treated (addresses are included below).
 

Immunization Records

Copies of Texas State immunization records

Billing Information

A signed authorization for release of protected health information is required to release billing information. The authorization form and a copy of photo identification should be mailed to Patient Financial Services (address is included below).

Diagnostic Imaging Films

A signed authorization for release of protected health information is required to release Diagnostic Imaging films. The authorization form and a copy of photo identification should be mailed to Diagnostic Imaging (address is included below).

Authorization Form

Download the Authorization for Release of Protected Health Information. Print and complete the form, then mail to the appropriate address (see below).

Addresses

Hunt Regional Medical Center at Greenville

Attn: Health Information Management
4215 Joe Ramsey
Greenville, TX 75403-1059
Fax: (903) 408-1649

Hunt Regional Home Care

Attn: Medical Records
4001 Ridgecrest Road
Greenville, TX 75402
Fax: (903) 408-1969

Patient Financial Services

4001 Ridgecrest Road
Greenville, TX 75402
Fax: (903) 408-1129

Diagnostic Imaging

4215 Joe Ramsey
Greenville, TX 75403-1059
Fax: (903) 408-1249

Fees

The Texas Legislature sets the fees that hospitals are permitted to charge for copies of medical records. This is found in §241.154(b)-(d) of the Health and Safety Code. The medical record fees at HMHD facilities will not exceed the rates permitted by the Texas State Legislature.

2017 Texas fees for copies of medical records in paper form:

  • 1-10 pages $45.79, includes basic retrieval or processing fee
  • 11-60 pages $1.54 per page
  • 61-400 pages $0.76 per page
  • More than 400 pages $0.41 per page
  • The actual cost of mailing, shipping, or otherwise delivering the provided copies

Texas Fees for copies of medical records on microfilm:

  • 1-10 pages $69.74, includes basic retrieval or processing fee
  • $1.54 per page thereafter
  • The actual cost of mailing, shipping or otherwise delivering the provided copies

Texas Fees for records stored on a digital or other electronic medium and the requesting party requests delivery in a digital or electronic medium, including electronic mail:

  • Retrieval and processing fee which may not exceed $82.95
  • The actual cost of mailing, shipping, or otherwise delivering the provided copies

Other Charges:

  • Execution of an affidavit or certification of a document, not to exceed the charge authorized by Civil Practice and Remedies Code, §22.004
  • Written responses to a written set of questions, not to exceed $10.00 for a set