Oklahoma Code § 76-19

Title 76. Torts: Access to medical records - Copies - Waiver of privilege -
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Exception for inmates when threat to safety or security of self or
institution.
A.  1.  Any person who is or has been a patient of a doctor,
hospital or other medical institution shall be entitled, upon
request, to obtain access to the information contained in the
patient's medical records including any x-ray or other photograph or
image, pathology slide or the patient's medical bills.  Disclosure
regarding a deceased patient shall require either a court order or a
written release of an executor, administrator or personal
representative appointed by the court, or if there is no such
appointment, by the spouse of the patient or, if none, by any
responsible member of the family of the patient.  As used in this
paragraph, "responsible family member" shall mean the parent, adult
child, adult sibling or other adult relative who was actively
involved in providing care to or monitoring the care of the patient
as verified by the doctor, hospital or other medical institution
responsible for the care and treatment of such person.
2.  Any person who is or has been a patient of a doctor,
hospital or other medical institution shall be furnished copies of
all medical records including any x-ray, other photograph or image,
pathology slide or all medical bills pertaining to that person's
case upon request and upon the tender of the expenses enumerated in
this paragraph.  The cost of each copy to such person or to the
personal representative, spouse or responsible family member of such
person, not including any x-ray or other photograph or image or
pathology slide, shall be fifty cents ($0.50) for each page.
Requests for medical records and medical bills from attorneys,
insurance companies and by way of subpoena shall be charged a base
fee of Twenty Dollars ($20.00) in addition to the per page charges
required pursuant to this section, plus postage or delivery fee.
The base fee shall be charged regardless of whether any records
related to the request are located.  A fee of Fifteen Dollars
($15.00) shall be charged if a certification or an affidavit by the
provider regarding the authenticity of the medical records or bills
is requested.  The physician, hospital or other medical
professionals and institutions, or their business associates as the
term is defined in Section 160.103 of Title 45 of the United States
Code of Federal Regulations shall produce the records in digital
form at the rate of thirty cents ($0.30) per page if:
a. the entire request can be reproduced from an
electronic health record system,
b. the records are specifically requested to be delivered
in electronic format, and
c. the records can be delivered electronically.
If a provider or business associate transmits the records
electronically, no postage shall be charged but a delivery charge

shall apply.  In no event shall a charge for the reproduction of
electronically stored and delivered medical records pursuant to this
paragraph exceed Two Hundred Dollars ($200.00) plus postage or
delivery fee.  The cost of each printed x-ray, other photograph or
image to such person or to the legal representative of such person
shall be Fifteen Dollars ($15.00).  If the x-ray, other photograph
or image is provided on a CD/DVD or other electronic media, the fee
shall be Twenty Dollars ($20.00) per CD/DVD or other electronic
media.  The physician, hospital, or other medical professionals and
institutions, or their business associates as the term is defined in
Section 160.103 of Title 45 of the United States Code of Federal
Regulations, shall not charge a person who requests their own record
a fee for searching, retrieving, reviewing, and preparing medical
records of the person.  No mailing fee shall be charged for copies
provided by facsimile.  All requests for medical records made
pursuant to this subsection shall be subject to the fees described
in this section regardless of where the copies or electronic
versions of such records are actually produced.
3.  The provisions of paragraphs 1 and 2 of this subsection
shall not apply to psychological, psychiatric, mental health or
substance abuse treatment records.  In the case of psychological,
psychiatric, mental health or substance abuse treatment records,
access to information contained in the records shall be obtained
pursuant to Section 1-109 of Title 43A of the Oklahoma Statutes.
4.  The provisions of paragraphs 1 and 2 of this subsection
shall not apply to requests for medical records made by the
Disability Determination Division of the State Department of
Rehabilitation Services.  The fee for such requests shall be at a
rate allowed by the Social Security Administration.
B.  1.  In cases involving a claim for personal injury or death
against any practitioner of the healing arts or a licensed hospital,
or a nursing facility or nursing home licensed pursuant to Section
1-1903 of Title 63 of the Oklahoma Statutes arising out of patient
care, where any person has placed the physical or mental condition
of that person in issue by the commencement of any action,
proceeding, or suit for damages, or where any person has placed in
issue the physical or mental condition of any other person or
deceased person by or through whom the person rightfully claims,
that person shall be deemed to waive any privilege granted by law
concerning any communication made to a physician or health care
provider with reference to any physical or mental condition or any
knowledge obtained by the physician or health care provider by
personal examination of the patient; provided that, before any
communication, medical or hospital record, or testimony is admitted
in evidence in any proceeding, it must be material and relevant to
an issue therein, according to existing rules of evidence.
Psychological, psychiatric, mental health and substance abuse

treatment records and information from psychological, psychiatric,
mental health and substance abuse treatment practitioners may only
be obtained provided the requirements of Section 1-109 of Title 43A
of the Oklahoma Statutes are met.
2.  Any person who obtains any document pursuant to the
provisions of this section shall provide copies of the document to
any opposing party in the proceeding upon payment of the expense of
copying the document pursuant to the provisions of this section.
C.  This section shall not apply to the records of an inmate in
a correctional institution when the correctional institution
believes the release of such information to be a threat to the
safety or security of the inmate or the institution.
Added by Laws 1976, c. 44, § 3, emerg. eff. April 8, 1976.  Amended
by Laws 1977, c. 59, § 1, eff. Oct. 1, 1977; Laws 1979, c. 75, § 2,
eff. Oct. 1, 1979; Laws 1985, c. 184, § 1, eff. Nov. 1, 1985; Laws
1987, c. 168, § 2, eff. Nov. 1, 1987; Laws 1994, c. 90, § 1, eff.
Sept. 1, 1994; Laws 1995, c. 251, § 14, eff. Nov. 1, 1995; Laws
1999, c. 293, § 27, eff. Nov. 1, 1999; Laws 2003, c. 21, § 1, emerg.
eff. March 31, 2003; Laws 2003, c. 390, § 23, eff. July 1, 2003;
Laws 2004, c. 168, § 17, emerg. eff. April 27, 2004; Laws 2005, c.
88, § 1, emerg. eff. April 21, 2005; Laws 2011, c. 222, § 1, eff.
Nov. 1, 2011; Laws 2013, c. 273, § 1, eff. Nov. 1, 2013; Laws 2015,
c. 100, § 1, eff. Nov. 1, 2015; Laws 2021, c. 231, § 1, eff. Nov. 1,
2021.

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