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Obtaining Medical Records​​

Your complete medical record from our office will be provided to you via encrypted email, in digital form. 

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A medical record release form ("release") signed by the patient, their legal guardian or parent, is required. This form can be downloaded from the link on the homepage and emailed to us at staff@fairhopefamilymedicine.com.  Complete the form by including your full identifying contact information including name, address, email address, date of birth, signature, and signature date.  Include a witness signature as well.   Incomplete forms will not be processed. 

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The fee for providing each patient’s set of digital medical records is ten dollars ($10.00),  based on average labor costs of copying, extracting, and transmitting the records.  This fee helps cover the cost of securely and efficiently fulfilling requests, and is in compliance with applicable state and federal regulations.   

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All payments will be collected online through this website.  Click HERE to order/pay online.  Send the completed release to staff@fairhopefamilymedicine.com.

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If you require your medical records to be printed out on paper, the fee is one dollar ($1.00) per page for the first 25 pages and fifty cents per page ($0.50) for each page thereafter plus a five dollar ($5.00) search fee plus the cost of mailing if necessary (these fees are prescribed by Alabama statute). We will first calculate the cost to print your medical records and call you to collect the fee before printing the records.  Most records are several hundred pages, as created by the electronic medical record system.

Fairhope Family Medicine

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