EnglishYour Medical Records Explained
Medical records contain important information about your health history. Understanding what's in them and how to access them empowers you to take control of your healthcare.
What's Included in Your Medical Records
Your medical records typically contain:
- Personal Information: Name, date of birth, contact details, emergency contacts
- Medical History: Past illnesses, surgeries, hospitalizations, and chronic conditions
- Medications: Current and past prescriptions, dosages, and any adverse reactions
- Allergies: Known allergies to medications, foods, or environmental factors
- Lab Results: Blood tests, imaging results, and other diagnostic tests
- Immunization Records: Vaccines you've received and dates
- Clinical Notes: Notes from your doctor visits and examinations
- Treatment Plans: Recommended treatments and care plans
Your Right to Access Your Records
Under federal law (HIPAA), you have the right to:
- Request and obtain copies of your medical records
- Review your records for accuracy
- Request corrections to inaccurate information
- Know who has accessed your records
- File a complaint if your privacy rights are violated
How to Request Your Medical Records
To obtain copies of your records:
- Contact the healthcare provider's medical records department
- Fill out an authorization form (usually required)
- Specify which records you need and the date range
- Allow processing time (typically 30 days, though many provide faster access)
- Pay any applicable copying fees (providers may charge reasonable fees)
Digital Access Through Patient Portals
Many healthcare providers offer online patient portals where you can:
- View test results and visit summaries
- Download or print your records
- Message your healthcare team
- Request prescription refills
- Schedule appointments
Keeping Your Own Records
Consider maintaining a personal health file with copies of important documents, a list of medications, and notes from significant appointments. This is especially useful when seeing new providers or in emergencies.