Release Of Information
Our practice does not accept records requests by fax, email, or personal service. You'll need to upload your request for records from our Request Upload Module. If you can't upload, please mail your request for records to our Request Processing Center —1142 S. Diamond Bar Blvd 310, Diamond Bar, CA 91765. This location only receives correspondence and any personal service is not authorized.
Initial Processing Fee
It's our policy to request an Initial Processing Fee of $15 for every record type —Medical, Billing, X-Rays, etc., requested —as each record type is retrieved and processed separately. This fee is payable to our Request Support Team —Records Source.
The "Treating Doctor's Name" and the "Treating Location Address" must be specified in your request for records. Your Subpoena or HIPAA Authorization request must be directed to "Ameri Chiropractic, Inc".
ANY REQUEST DIRECTED or C/O TO "RECORDS SOURCE OR ANY OTHER ENTITY" WILL BE REJECTED
The Initial Processing Fee is only to process your request for records, not for the cost of the production of the record. The Initial Processing Fee is a non-refundable fee to cover the clerical costs incurred for the following:
- Records Request Process: It takes valuable clerical time to process, search, verify, and data entry patient record requests. Without this fee, your request for records might not be processed.
- NO Records Found/ Declaration of No Records: If, after a complete search (digital, paper, storage), no records are found, your request will be closed with a Certificate of No Records. Your Initial Processing Fee will cover the cost of all the clerical time spent in complying with your record request.
If records (digital, paper, storage) are found, a Final Invoice for the reproduction cost, the certification process, and the digital distribution of the records, will be submitted to your office for approval. This final reproduction cost must be made payable to our medical practice "Ameri Chiropractic, Inc" for our valuable time in making records available.
ANY FINAL PRODUCTION CHECK NOT PAYABLE TO "Ameri Chiropractic, Inc" WILL BE DESTROYED
All records requests are subject to twenty 20 business days turnaround from the day that our Request Processing Center received your request. PLEASE do not call for status during this period of time; we'll keep you posted on any further updates by fax and email. If you have any questions, please send us an email at —email@example.com
Five 5 Days Download
Our practice will not fax, email, upload, or mail our patient's Private Health Information (PHI). Requested records information will be electronically delivered through our secure Release Of Information Portal. (High-grade SSL data encryption at transfer and 256-bit AES at rest).
As soon as your request is completed, we will notify you by fax or email. You can download your file as many times as you need for ONLY 5 FIVE DAYS, from our email notification date. If for whatever reason, a file needs to be re-uploaded, there will be an Upload Process Fee charged to your firm.
Subpoenas for Personal Appearance must be personally served directly to the medical doctor, or to the most knowledgeable person who you are requesting to appear or testify at trial or hearing. Witness fees per California Government Code §68092.5, must also be included and payable to the medical provider's name at the time of service.
EXPERT WITNESS FEES MUST BE INCLUDED AT THE TIME OF SERVICE
PLEASE read thoroughly the California Government Code §68092.5:
(a) The party designating the expert is responsible for any fee charged by the expert for preparing for the testimony and for traveling to the place of the civil action or proceeding, as well as for any travel expenses, unless otherwise determined by the court.
(b) The service of a proper subpoena or notice accompanied by the tender of the expert witness fee described in subdivision (a) is effective to require the party employing or retaining the expert to produce the expert for testimony. If the party serving the notice or subpoena fails to tender the expert’s fee under subdivision (a), the expert shall not be required to appear at that time, unless the parties stipulate otherwise.
Referring Law Firms
Please DO NOT submit a request for records if you are the referring attorney. Just send us an email, providing your client's demographics and the medical provider's information. Please specify that you are the attorney who referred the patient for treatment, and we'll serve you with copies of any and all medical records, and reports available.
IT IS OUR POLICY THAT ANY OUT OF STATE SUBPOENA MUST BE ACCOMPANIED WITH A HIPAA AUTHORIZATION SIGNED BY OUR PATIENT