Overview of Request Types and Processing

For Requests Received from Patients

If a patient needs medical records for personal use, they will need to complete an online Medical Records Request Form on the Carrell Clinic website or pick up a form from the Carrell Clinic office to mail in as instructed on the form. There is a forms processing fee of $25.00 for all requests plus an $8.00 fee for each CD containing XRay or MRI images. We do not mail, email, or fax patient medical records, nor are they available for in-office pick-up. Only X-ray/MRI images are available for pick-up or mailing. Medical records requested by patients are released through a Secure Release Website at www.myroiplus.com.

For Requests Received from Third Parties (other than the patient)

Requests for medical records must be submitted in writing, along with a Patient Authorization form signed by the patient. These items must be mailed, faxed, or emailed to Carrell Clinic. A Request Fulfillment Notice with an Invoice of the appropriate fees will be faxed to the requesting entity when the request is complete. We do not mail, email, or fax patient medical records. Requested medical records are released through a Secure Release Website at www.abtroiplus.com.

For Continued Care

Requests for a patient’s medical records received directly from another Healthcare Provider will be processed at no charge. The patient can sign the Carrell Clinic Request Form or one from the other facility. Our standard amount of records to release is 2 years of clinic notes, testing and operative notes, unless otherwise noted. We do not mail, email, or fax patient medical records. Requested medical records are released through a Secure Release Website at www.abtroiplus.com.

For Social Security Disability Determination

If the patient requests medical records for Social Security Disability, medical records processing fees apply. The Patient must request the records for disability purposes, pay the processing charges, and take the records to the appropriate Texas Disability Determination Services office. If the Social Security Office requests the records directly, we must receive their request in writing with a signed patient release authorization. Note: Social Security Disability Determination will pay for collecting medical records.