Medical Records Request

Request copies of your medical records. Fees apply per Texas Medical Board guidelines. Standard processing time is 15 business days.

Fee InformationIn accordance with Texas Medical Board fee guidelines, a flat fee of $50.00 applies to all records requests, plus per-page fees. Expedited processing incurs an additional $25.00 fee. Contact records@ihealthcid.com for questions about fees.

Request Type

Third Party RequestOffice/Personal Request

Requester Information

Requester Name*

Email*

Phone*

Street Address

City

State

ZIP Code

Patient Information

Patient Full Name*

Patient Date of Birth*

Records Details

Records Requested*

Date Range Start

Leave blank for all available records

Date Range End

Leave blank for all records through today

Purpose*

Estimated Page Count

Optional - helps estimate fees

Expedited Processing (+$25.00)

Reduces processing time from 15 business days to 5 business days

Estimated Fees

Flat processing fee$50.00

Estimated Total$50.00

* Final fees may vary based on the actual number of pages. You will be contacted with the exact amount before records are released.

Fees are set in accordance with Texas Medical Board fee guidelines (22 TAC 165.2). Payment is required before records are released. For questions, contact our records department at records@ihealthcid.com.