How do I request a copy of my Medical Records?
You can request a copy of your Medical Records by completing an Authorization for Release of Medical Records. Because an actual signature is required to release medical records information, personnel at Austin Radiological Association are not allowed to process requests or authorizations received via email.

You can submit this information by mail or by fax. The address, phone numbers and fax numbers is included within the instructions for completing the Authorization for Release of Medical records form.

Who is authorized to sign for release of my health information?
The following people are authorized to sign for release of your health information:

• The patient (Not the spouse)
• Power of attorney if the patient is unable to sign (Legal document must be provided.)
• Parent (if the patient is younger than age 18)
• Parent and minor if the patient is 12 to 17 years of age and receiving psychiatric, alcohol, or drug treatment services
• Legal guardian (Proof of guardianship document must be provided.)
• Emancipated Minor (if the patient is 17 or 16 and provides a copy of the court order)
• Representative of the estate for deceased patients (Copy of the death certificate and a copy of the representative of estate documents must be provided.)

When will I receive a copy of the medical record?
Copies are processed within 24 to 48 hours from the date the Authorization is received. Be advised that requests will not be complete until the Authorization for Release of Medical records form is received. Recipients will be notified if the request cannot be processed within the above time frame.

Who do I contact if I have questions?
If you are a patient and have a question about your request for medical records, you may contact our Image Library department at (512) 719-8230; or you can send an email to onr@ausrad.com.

How much does it cost to obtain a copy of my health information?

• There is no charge for releasing copies of health information directly to other healthcare providers.
• The patient will be responsible for any carrier fees except if mailed through regular US Mail.