To request a copy of your records, please contact our Office Manager at firstname.lastname@example.org
Medical records will be made available to you within 10 business days of your written request.
Cooper House charges the following fees for records requests:
$25 Search/Preparation Fee
$1.17 per page for the first thirty pages
$0.88 per page for all other pages
Optional: $5.00 mailing fee
An invoice for these fees will be sent to you. Payment must be received prior to records being released.
As this request concerns Protected Health Information, we are required to follow state and federal law concerning the privacy of your health information.To read more about how Cooper House discloses and protects client information, please review our Notice of Privacy Practices