access to records, right to (Florida)

Any licensed health care practitioner or records owner must make available copies of all reports and records related to a person's examination or treatment, "in a timely manner, without delays for legal review," upon request of the person or the person's legal representative. (FL Stat 456.057)

When a patient's psychiatric, psychological, or psycho-therapeutic records are requested by the patient or the patient's legal representative, the health care practitioner may provide a report of examination and treatment in lieu of copies of records. Upon a patient's written request, complete copies of the patient's psychiatric records must be provided directly to a subsequent treating psychiatrist.

The furnishing of such report or copies may not be conditioned upon payment of a fee for services rendered. A health care practitioner or records owner furnishing copies of reports or records, or making the reports or records available for digital scanning, may not charge more than the actual cost of copying, including reasonable staff time, or the amount specified in administrative rule by the appropriate licensing board.

Records owners must place an advertisement in the local newspaper or notify patients in writing when terminating practice, retiring or relocating and no longer available to patients, and offer patients the opportunity to obtain a copy of their medical record.

Records owners must also notify the appropriate licensing board office when they are terminating practice, retiring, or relocating, and no longer available to patients, specifying who the new records owner is and where medical records can be found.

Whenever a records owner has turned records over to a new records owner, the latter is responsible for providing a copy of the complete medical record upon written request of the patient or the patient's legal representative.

A person or entity may be appointed as a custodian of medical records in the event of the death, mental or physical incapacitation, or the abandonment of medical records by a practitioner. The appointed custodian must comply with all records access provisions.

Records of a deceased or relocated practitioner must be retained for at least two years after the practitioner's death, termination of practice, or relocation. In the case of death, administrative rules must provide for the disposition of such records by his/her estate. (456.058)

As with other health privacy provisions, separate statutory provisions (in chapter 395) address patient access to the records kept by hospitals, ambulatory surgical centers and similar facilities. (See chapter 395, esp. 395.3025)

Those licensed facilities must provide upon written request "in a timely manner, without delays for legal review" a "true and correct copy" of all patient records for any person admitted and treated therein, subsequent to the person's discharge.

The records copy may be provided to the records subject; to his/her guardian, curator, or personal representative; to the next of kin (if a decedent); or to anyone designated by the records subject in the written request. Records of minors may be released to a parent.

The person requesting the copies must agree to pay a reproduction fee, which may not exceed $1 per page for paper records, and $2 per page for nonpaper records; sales tax and actual postage may also be charged. A fee of up to $1 may be charged for each year of records requested. These charges apply to all records furnished, whether directly from the facility or from a copy service providing these services on its behalf.

A patient whose records are copied or searched for the purpose of continuing to receive medical care is not required to pay a charge for copying or for the search.

The facility must allow persons to examine original records in its possession, or microforms or other suitable reproductions of the records, under reasonable terms to assure that the records will not be damaged, destroyed, or altered.

Note that these provisions do not apply to records maintained at any licensed facility "the primary function of which is to provide psychiatric care to its patients," or to records of treatment for any mental or emotional condition at any other licensed facility (governed by 394.4615). Neither do they apply to records of substance abuse impaired persons (governed by 397.501).

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   © 2002-2006 Contributing authors and University of Miami School of Medicine