Courtesy Services - New - Pasadena Clinical Group

MEDICAL RECORDS - COURTESY SERVICES

(These fees apply on the top of any other fee already assessed. They are the cost we incur to process courtesy services)

	FAX	MAIL (USPS - no tracking)	E-Mail
Who can request it?	The patient, the parent or the legal guardian.	The patient, the parent or the legal guardian.	The patient, the parent or the legal guardian.
How much it costs?	Up to 50 pages: no charge 51+ pages: $0.25 per page All fees must be paid upfront and are non-refundable.	Up to 25 pages: no charge 25+ pages: $0.25 per page All fees must be paid upfront and are non-refundable.	no charge
Do I have to fill out a request form?	Yes. Please fill out the form at this link	Yes. Please fill out the form at this link	Yes. Please fill out the form at this link
Timeframe	10 business days from the date the request is submitted and cleared	10 business days from the date the request is submitted and cleared	10 business days from the date the request is submitted and cleared
How do I pay the fees?	All fees are charged when your request is processed. A valid credit card is required.	All fees are charged when your request is processed. A valid credit card is required.

Courtesy Services – New