Medical Records Request

Medical Records Request | Make You Well

At Make You Well, we respect your right to privacy and your right to access your personal health information. In accordance with the Health Insurance Portability and Accountability Act (HIPAA) and Texas state regulations, you may request copies of your medical records for personal use, continuity of care, or legal documentation.

How to Submit a Medical Records Request

To protect your protected health information (PHI), we require all medical records requests to be submitted through a verified secure channel. Choose the option below that best fits your needs.

Option 1: Request Records Through the Patient Portal (Fastest)

The most secure and efficient way to view, download, or share your medical records is through your secure Patient Portal.

  • Instant Access: View your lab results, imaging reports, immunization records, and visit summaries immediately upon login.
  • No Fee: There is no charge to access, download, or print records directly from your portal account.
  • Direct Sharing: Securely transmit your records directly to other providers within the network.

Option 2: Electronic Release Form (For Third-Party Requests)

If you need your records sent directly to an insurance provider, attorney, or an outside specialist clinic, you must complete an official Authorization for Disclosure of Health Information Form.

  • Download the Form: Click the link below to download the standard Texas Medical Records Release Authorization.
  • Complete the Details: Ensure all sections are filled out, specifying exactly which dates of service and treatment records you wish to release.
  • Submit Electronically: Upload your completed, signed form along with a valid copy of your photo ID through our secure compliance drop-box.

Option 3: Standard Mail or In-Person Submission

If you prefer to submit a paper request, you can mail or drop off your signed authorization form to your primary clinic location:

Please include a legible copy of your valid photo ID with all mailed or in-person submissions. See your clinic’s location page for the mailing address.

Important Patient Notices Regarding Medical Records

Processing Time

Under Texas Medical Board rules, healthcare facilities have up to 15 business days to fulfill a valid medical records request after receiving a signed, completed written authorization form. We make every effort to process requests significantly faster, especially for urgent continuity of care needs. If your request is time-sensitive, please note this clearly on your authorization form or contact your clinic location directly.

Fees for Copied Records

  • Patient Portal Delivery: Always $0 (Free).
  • Direct Provider-to-Provider Transfer: $0 (Free) when requested by another licensed healthcare practitioner for ongoing treatment.
  • Paper or Dispatched Digital Copies: In compliance with Texas Health and Safety Code guidelines, reasonable, cost-based fees may apply for retrieval, processing, and postage of hard-copy prints or digital media delivery (USB/CD). You will receive a fee estimate for approval prior to processing.

Radiology & Diagnostic Imaging

If you require copies of actual diagnostic films or imaging files — such as digital X-rays from our Richardson or Colleyville offices — please specify this clearly on your release form. Imaging files may be prepared separately from standard progress notes and visit summaries and may require additional processing time.

Frequently Asked Questions

No. To protect patient confidentiality and comply with HIPAA requirements, we cannot accept medical records requests by telephone. All requests must be submitted through a verified secure channel — either through the Patient Portal or via a signed written authorization form submitted electronically, by mail, or in person.

A family member or designated caregiver may request your records only if they are legally authorized as your Medical Power of Attorney, or if you have submitted a signed authorization form explicitly naming them as an approved recipient. Requests from unauthorized third parties, including family members, will not be fulfilled without proper legal documentation.

If you are a new patient joining our practice, download our Authorization for Disclosure of Health Information Form, list your previous provider as the disclosing party, and select your Make You Well clinic as the recipient. Our team will contact their office directly to retrieve your records. This service is provided at no charge.

In accordance with Texas law, adult patient medical records are retained for a minimum of 10 years from the date of the last treatment. Records for minor patients are retained until the patient reaches the age of 21, or for 10 years from the date of last treatment, whichever is longer. For specific questions about record retention, contact your clinic location directly.

You have the right to request an amendment to your medical records if you believe information is inaccurate or incomplete. Submit a written amendment request through the Patient Portal or by contacting your clinic directly. Your provider will review the request and respond in accordance with HIPAA guidelines. You also have the right to have a statement of disagreement included in your file if your amendment request is denied.

If you believe your medical records request has been improperly delayed or denied, you have the right to file a complaint with the following agencies:

  • Texas Medical Board — 1-800-201-9353 | www.tmb.state.tx.us
  • U.S. Department of Health & Human Services, Office for Civil Rights (HIPAA complaints) — 1-800-368-1019 | www.hhs.gov/ocr
  • Privia Medical Group Compliance Hotline — 1-888-774-8423 | priviahealth.compliance-helpline.com

For full licensing and complaint information, visit our Licensing & Complaints page.