San Juan · Puerto Rico787-296-9521

How to obtain your complete certified medical records.

A guide for prospective medical-malpractice and personal-injury clients: collecting records, patient rights, and help with excessive charges, delays, or refusals.

How to collect them

To evaluate treatment, injuries, and their connection to the event, our office needs complete certified medical records, preferably accompanied by a certification letter. Begin requesting them promptly.

  1. Identify the providers and treatment dates.

    Include the hospital, emergency department, primary-care physician, specialists, therapy and rehabilitation providers, laboratories, imaging centers, and pharmacies connected to the matter. Request relevant care before, during, and after the event.

  2. Submit a written request and keep proof.

    Identify the patient, treatment dates, and requested documents. Ask for acknowledgment of receipt and an itemized fee. Complete applicable identification or authorization requirements; if requesting another person’s records, establish your authority to receive them. Keep the request, receipt date, payment receipts, and every response.

  3. Request the complete certified copy.

    Request complete certified medical records, preferably accompanied by a letter from the records custodian certifying that the copy is true, accurate, and complete as to the available file. Include medical and nursing notes, orders, medications, laboratory results, images and reports, discharge records, and follow-up. Where applicable, also gather the death certificate, autopsy, and forensic reports.

  4. Review and organize the records received.

    Check the patient, providers, and requested dates. Identify missing pages, periods, or documents and request them in writing. Keep original files and their certification together. A discharge summary, partial portal download, or photographs of isolated pages may help initially, but do not replace the complete certified copy.

A certification letter is the office’s preferred way to document the copy received. Record certification does not establish negligence.

Your access rights under the Patient Bill of Rights

Article 11(e) of Act 194-2000 recognizes prompt access and the right to a copy of the medical record. Article 12 provides complaint and grievance mechanisms. When requesting documents for our review, expressly ask for the complete certified copy.

$25

Maximum per medical record

The reasonable copying charge may not exceed $0.75 per page, up to $25 per medical record. This is not a flat $25 fee for every file.

15 working days

Medical-hospital institutions

Article 11(e) sets this maximum delivery period when the record is requested from a medical-hospital institution.

5 days

General delivery rule

The same article provides a general five-day rule. Do not assume every provider has fifteen working days.

When the physician-patient relationship ends, article 11(e) provides for delivery of the record free of charge within five working days. A debt to the physician must not prevent access to the file.

Source: Act 194-2000, arts. 11(e) and 12, OGP compilation, pp. 13–15. Keep the request, receipt, and payment dates; ask the OPP for guidance if timing or fees are disputed. Read the Patient Bill of Rights and Responsibilities ↗

Excessive charges, delays, or refused records?

Request guidance or file a complaint with the Office of the Patient Advocate (OPP) if you are charged more than $0.75 per page or the $25 maximum per record, a medical-hospital institution exceeds fifteen working days, another provider misses the applicable deadline, or you encounter refusal, incomplete delivery, obstacles, or resistance to providing the file.

Explain that you requested the complete certified copy and describe what is missing or the obstacle encountered. Provide the request, proof of receipt, invoice or quote, payment receipts, and communications. Ask for the reason for any refusal or additional charge in writing. You need not wait fifteen days to seek guidance about an excessive fee or refusal.

The patient or an authorized representative may complain. The OPP accepts complaints free of charge, evaluates the information, and explains next steps. Do not assume that requesting records or contacting the OPP suspends a deadline for an injury claim.

Office of the Patient Advocate

787-977-0909
1-800-981-0031
TTY: 787-710-7057

info@opp.pr.gov

Guidance and investigation request

Visit the official OPP website ↗

The official page provides the investigation-request form and filing instructions. This website does not submit your complaint.

Start with the intake review.

Initial consultations are free and strictly confidential, by videoconference. Every meeting requires completing Clio Grow intake first and receiving confirmation from the office.

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