Welcome

Request Your Medical Records Easily

About Bayou City Contact

Our Message

After careful consideration, Bayou City Surgical Specialists, closed its doors on January 20, 2025. This decision was not made lightly.

We want to express our deepest gratitude to you for trusting us with your care over the years. It has been an honor to serve you, and we are proud of the work we’ve done together to improve your health.

If you are a former patient, we will ensure a smooth transition to a new provider. Our team is here to assist with the transfer of your medical records and help you find alternative healthcare providers who can continue your treatment.

Please email us at info@bayoucitysurgical.com with any questions or concerns. This inbox is monitored weekly. We will do everything we can to support you during this transition. Please see below on resources regulating medical record requests & transfer.

Thank you for your trust, and we wish you continued good health!

policy for requesting medical records

In Texas, if a patient or other authorized requester is requesting copies of records (versus electronic access), they must submit this request in writing. A form to disclose protected health information (PHI) is also available for physicians and health care entities to provide to patients for this purpose.

The written request must contain the following elements:

identify who is authorized to make the disclosure (such as the physician);
identify who may receive the PHI (such as self, relative, another treating physician, etc.);
identify who may make the authorization;
identify the specific information to be disclosed, particularly for sensitive information, such as HIV/AIDS testing and treatment, mental health treatment, and substance abuse treatment;
describe the purpose of the disclosure;
note when the authorization expires; and
contain a signature and date (of the patient or personal representative).

Medical Record release Policy

(a) Upon receipt of a request for medical records that complies with §159.005 of the Act, a physician must provide the information within 15 days of the request and in accordance with Chapter 159 of the Act.

(b) Requests for diagnostic imaging, including static films, non-static films, and imaging studies, must specify whether a copy or the original of the study is sought.

(1) paper records - the maximum fee may be $25.00 for the first twenty pages and $.50 per page thereafter

(2) electronic records - the maximum fee may be $25.00 for 500 pages or less and $50.00 for more than 500 pages;

(3) hybrid records (part paper and electronic) - the fee for each different format may be utilized, including diagnostic studies;

(4) if an affidavit is requested for the records, the maximum fee may be $15.00;

(5) if a narrative is provided in lieu of records, the maximum fee may be $20.00;

(6) requests that all records be in paper format even though available as electronic records - the paper record fee may be charged; and

(7) if records are mailed to the requestor - actual postage cost may be charged.