Patient Privacy

Pediatrics South Medical Records Release Policy

~Patients may receive a copy of their immunization records upon completion of their visit or at any time by request, free of charge.
~Patients may request and receive a copy of their latest visit, within three business days of that visit, without charge.
~Copies of any additional medical records require a completed and signed written request form. Only medical records originated through our practice will be copied unless otherwise requested. There may be information relating to sexual history/sexually transmitted disease, acquired immunodeficiency syndrome (AIDS), or human immunodeficiency virus (HIV) included in the patient’s medical records. The records may also include information about behavioral or mental health services, and treatment for alcohol and drug abuse. These records, known as restricted health information, will be provided unless the patient specifies that the information should NOT be released. If patient is a minor (between the ages 14-18) he/she must sign for the release of any restricted health information.
~ Fees may be associated with this request as permitted under HIPAA and the Commonwealth of Pennsylvania.
~ RECORDS WILL BE COMPLETED WITHIN 30 DAYS OF RECEIPT OF COMPLETED RELEASE FORM. (60 DAYS IF RECORDS ARE OFF-SITE.)