Records Release

Requesting Medical Records From Mercer Bucks Cardiology

Access to medical records is protected by federal HIPAA regulations. Copies of records may be released upon receipt of an Records Release form completed by the patient (if over 18 years of age) or parent/legal guardian.

You may obtain the form by utilizing one the following methods:
The authorization form must be completed in its entirety or we will be unable to release your records. The completed form can either be mailed to your local office or faxed to your local office. If faxing please contact your local office to verify the fax number.

Price per page: $1.00 per page up to 25 pages and $0.25 per page for all pages thereafter. Patients will also be responsible for any applicable taxes. Shipping charges (if your records are mailed) will be the responsibility of the patient.

If the records are requested for continuing care and are sent directly to other medical providers or facilities, there is no charge.

Share Button