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Requesting Medical Records

Texas chiropractors must provide patient records within 15 business days of a request, as mandated by the Texas Board of Chiropractic Examiners (TBCE) under 22 Tex. Admin. Code § 76.2. Records cannot be withheld for a past-due account or lack of a letter of protection.

Key Rules for Providing Medical Records (22 TAC §76.2 & §76.3):

  • Timeline: Records must be delivered within 15 business days.

  • Fees: A "reasonable fee" can be charged:

    • Paper: Up to $25 for the first 20 pages, and $0.50 per page thereafter.

    • Electronic: Up to $25 for 500 pages or less, $50 for more than 500.

    • Affidavit: A fee of up to $15 may be charged for a custodian of records affidavit.

  • Denial of Request: Records may only be withheld if the chiropractor determines that disclosure would harm the physical, mental, or emotional health of the patient. If denied, the chiropractor must document the reason, notify the patient within 15 days, and request a second opinion.

  • Retention: Records must be kept for a minimum of six years from the date of last treatment (or until a minor turns 21, whichever is longer).

  • Transfer: When a doctor-patient relationship ends or a practice is sold, chiropractors must ensure records are transferred or maintained according to these rules.

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