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For all records requests:
For all records requests:
- A completed and signed Release of Information (ROI) form is required for each recipient of records.
- Records fees where applicable must be paid in full prior to releasing records.
- Completed ROI forms may be emailed to Teri@TreyAoueilleMD.com or faxed to (512) 329-5522.
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Records Fees:
Records to another treating physician: No charge Digital copies: 1 - 500 pages = $25.00 501+ pages = $50.00 Paper copies: 1 - 20 pages = $25.00 pages 21+ = $0.50 per page |
If you have received an email that your records are ready for download, you may go to the Payment Portal page to pay the associated records fees. |
If you have any questions or need assistance with this form, please call Teri Leach at (512)327-9400 ext. 1202
or email Teri@TreyAoueilleMD.com.
or email Teri@TreyAoueilleMD.com.