To access or receive copies of your medical record, or to authorize HealthCARE Express to release your medical information to another facility or individual, you must submit a request with a signed authorization form to the Medical Records Department at HealthCARE Express.
Cost for Medical Records
We charge a fee for medical records to cover the costs of copying, mailing, and/or other supplies associated with your request. Upon receiving your request, we will inform you of the fee with an invoice.
Initial Medical Record Fee: $7.50
25 pages @ $1.00 per page up to 25 pages: $25.00
Additional pages: $0.50 per page from 26-500 pgs
Postage Expense: Rates vary based on size of medical record
Affidavit/Notary Fee: $15.00
X-Rays or Diagnostic Imaging: $8.00
All records will be mailed/faxed when invoice and payment have been received. Please call 903-831-7270, ext. 1003 or 1402, if you have any questions about charges for medical records.
Submit a Medical Records Request
To submit your request, fax, mail or deliver the appropriate signed authorization form to our Medical Records Department:
Attn: Medical Records
P.O. Box 5637
Texarkana, Texas 75505
Phone: 903-831-7270, ext. 1003 or 1402
Download: Medical Records Authorization Form
For More Information
If you have questions about your health record, please call us at:
903-831-7270, ext. 1003 or 1402
Our medical records department is open Monday – Friday, 8:00 AM to 5:00 PM.
Download this form and submit a signed authorization form to the Medical Records Department at HealthCARE Express.DOWNLOAD
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