RECORDS ACCESS AND RELEASE POLICY

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• HIPAA (Federal Law)
  Record requests are processed pursuant to the patient’s right of access under 45 CFR § 164.524. The practice will respond within 30 days of receipt of a valid written request. If additional time is required, written notice will be provided as permitted by federal law.

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• Nevada Law
  Nevada law distinguishes between inspection of records and furnishing copies. Under Nevada Revised Statutes (NRS) 629.061, inspection permits review of records within 10 working days of a valid request but does not constitute transfer of possession.

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• Inspection
  As the practice no longer maintains a physical office location, in-person inspection is not available. Records may be furnished as copies upon receipt of a valid written request.

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• Transmittal of Copies
  Furnishing copies requires a complete, signed, and dated written authorization and is governed by NRS 629.061, NRS 629.062, and applicable federal law.

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• Electronic Transmission Notice
  Records transmitted electronically will be sent from:

                                        cpebbles@pebblespsychiatryllc.hush.com

     Please monitor your email, including spam or junk folders, for a secure message notification. ***

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• FEE SCHEDULE
  Fees are assessed in accordance with Nevada and federal law.

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• Paper Copies (NRS 629.061)
  • $0.60 per page (pages 1–20)
  • $0.50 per page (pages 21–50)
  • $0.20 per page (pages 51+)
  • Actual postage, if mailed

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• Electronic Copies (45 CFR § 164.524)
  • Flat fee of $6.50
  • Cost of electronic media, if applicable

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• No retrieval or administrative fees are charged.

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• Payment
  An invoice for applicable fees will be provided to the requester. Payment is required prior to furnishing copies.

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• Provider-to-Provider Transmission
  There is no charge for records transmitted directly to another licensed health care provider for purposes of continuity of care. The receiving provider’s complete contact information must be provided at the time of request.

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• Identification
  For electronic or mailed requests, a copy of a valid government-issued photo identification is required to verify the identity of the patient or authorized representative prior to release of records.

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• Authorization Requirements
  Processing of records requests requires a complete, signed, and dated authorization containing all required elements under federal and state law. Requests that are incomplete or missing required information will be returned for correction prior to processing.