Medical Records Request Form: Fill & Download for Free

The actual medical record, whether in paper or electronic form, is owned by the physician and medical office.However, the information contained in the medical record is property of the patient.You do not have the right to physically take the paper chart or remove the record in some other way. You are entitled to a copy of your medical records.This is done in the front of the office. You sign a release to get a copy of your records and these are provided to you. Legally, offices are allowed to require a reasonable fee for the expense of making this copy. It’s usually less than $25.I will often turn my computer around to show my patients various lab results or results of other tests.I do not believe a patient would have the right to look over my shoulder and read as I am generating the note. None of my patients has ever asked to do this.Once I sign the note, it becomes a part of the legal medical record and the patient can request it.

The person you spoke to who told you that you need a power of attorney is simply wrong. Call back, ask to speak to someone else, tell them that the person is asking for the wrong document since powers of attorney end when someone dies. Ask them what document they actually need you to provide to them. They probably have a form you can fill out as the deceased’s spouse to get the records.

One night I got a call from my wife telling me she had been in a car accident and that the ambulance was going to take her to Kaiser.I raced out the door and when I walked into the ER, there she was sitting in a wheelchair in the waiting room, not in a bed. Even worse, she didn’t have a c-collar on and was screaming and crying because her neck and back hurt so bad.I walked up to the counter to find out what the hell was going on and was told that they were very busy and she wasn’t critical enough be given a bed. I asked who took off her collar (I know for a fact that one had been put on her by the paramedics) and what they saw on the x-rays that gave the right to take her collar off??She said “the triage nurse thinks she’s fine and that she didn’t hurt her neck so it was removed.”!!!! WTF???? How dare she make a decision like that?? She is not a doctor, my wife had been in a head on collision, there had been no x-rays done to rule out any injury, at the very minimum she would have severe whiplash, and that damn collar should have been left on!!!I walked back to the waiting room, turned her wheelchair around, and went straight to the car with her. No AMA form, nothing, just out the door and never looked back.I took her to a real ER and the first thing they did was put a collar back on her and send her down immediately for a CT. Guess what? The CT showed that she had herniated a disc at the C-3 C-4 vertebrae and needed immediate surgery!!Since then, she has had 2 additional surgeries and on the last one had her neck fused.They had the gall to send us a bill for an exam, IV, pain meds, use of a bed and on and on for a total of almost $5000!! All they did was sit her in a wheelchair and remove her collar and they wanted $5000??I sent it back with my attorney's attached and a very long letter explaining exactly what had not been done and exactly how much we would be suing their hospital and that triage nurse for.When he requested copies of her medical records, there were of course no records to produce because all that had been done was her blood pressure, temp and heart rate. Nothing else, not one damn thing.Yes, we won the lawsuit.