Medical Records Request

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 is $7.50

25 pages @ $1.00 per page up to 25 pages is $25.00

Additional pages will be $0.50 per page from 26-500 pgs

Postage Expense (rates vary based on size of medical record)

Affidavit/Notary Fee is $15.00

X-Rays or Diagnostic Imaging is $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:

HealthCARE Express

Attn: Medical Records

P.O. Box 5637

Texarkana, Texas 75505

Fax: 903-831-7273

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.

HCE Medical records Authorization Form

Download this form and submit a signed authorization form to the Medical Records Department at HealthCARE Express.

DOWNLOAD

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