Medical records

Rules and opinions

Frequently asked questions


Rules and opinions

  • Board Rule 540-X-9-.10 concerns medical records management, release of medical records, cost for reproducing medical records, and transfer or disposal of medical records.
  • Commission Rule 545-X-4-.09 concerns minimum standards for medical records.
  • The Medical Association of the State of Alabama's Medical Records Policy discusses access, records of other physicians, confidentiality, retention and computerized patient records. (Note:  this is available to MASA members only)
  • The American Medical Association's Council on Ethical and Judicial Affairs has issued Opinions on Physician Records concerning availability of information to other physicians, access by non-treating medical staff, sale of a medical practice and retention of records. (Click on 7.00 - Opinions on Physician Records)

Frequently asked questions - professionals (also see frequently asked questions - consumers)

Q: How long do I have to retain medical records?
A: The Board does not specify a particular time period because retention times may vary from practice to practice. The Board rule states records should be retained "for such period as may be necessary to treat the patient and for such additional time as may be required for medical-legal purposes." A good rule of thumb is ten years. If you are unsure, contact your malpractice insurance carrier.

Q: What if my practice uses EHRs (electronic health records)?
A: The same retention times apply to EHRs as well as paper records.

Q: Do I include copies of records from prior treatment providers?
A: While there is no specific rule, in general, a physician should transfer, with the patient's authorization, any medical information in the patient's record which is pertinent to the patient's medical history and/or to any ongoing course of treatment. Psychological, psychiatric and drug or alcohol treatment records should not be routinely forwarded.

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