Missouri Medical Release

State:
Multi-State
Control #:
US-00562
Format:
Word; 
Rich Text
Instant download

Description

This Medical Release authorizes the physicians, hospital and all medical attendants to furnish full and complete medical reports and information requested by the person signing to whomever such person designates in the agreement. This authorization also includes examination of all hospital records, x-ray film and furnishing of any information including opinions. This agreement is applicable to all states.
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FAQ

The new maximum fees for copying will be $27.46 plus $0.63 per page, or $120.32 total, whichever is less, for copies provided electronically. Section 191.227, RSMo sets the statutory base rate for calculating the maximum fees for copying medical records at $24.85 and $.

According to a Trustwave report, a healthcare data record may be valued at up to $250 per record on the black market, compared to $5.40 for the next highest value record (a payment card).

Normally, one would simply have to call the health care provider and request a copy of the record and pick them up, after signing a release for the records. Some records that patients may want to request are test results, reports for surgeries, doctor's notes, discharge summaries and specialists' reports.

Who can see my medical records? Anyone authorised to see your medical records has a legal, ethical and contractual duty to protect your privacy and confidentiality.

How much does it cost to get your medical records? In general, the holder cannot charge a medical records fee for supplying you with the copies . There are some limited exceptions to this rule, such as where the request is deemed to be 'manifestly unfounded' or 'excessive'.

Missouri Revised Statute 334.097 (2) provides that Patient records remaining under the care, custody and control of the licensee shall be maintained by the licensee of the board, or the licensee's designee, for a minimum of seven years from the date of when the last professional service was provided.

The new maximum fees for copying will be $27.46 plus $0.63 per page, or $120.32 total, whichever is less, for copies provided electronically. Section 191.227, RSMo sets the statutory base rate for calculating the maximum fees for copying medical records at $24.85 and $.

For medical records, call (314) 657-1548 to discuss your request with a Department of Health employee. If records are available, you will be given a time to retrieve the records from the Department of Health office at 1520 Market Street, 4th Floor, St. Louis, MO 63103. Records are $10, cash only.

What is a Medical Records Release Form? A Medical Records Release Form is used to request that a health care provider (physician, dentist, hospital, chiropractor, psychiatrist, etc.) release a patient's medical records, either to the patient, a third party (such as an employer or insurance company), or both.

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Missouri Medical Release