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Regulatory FAQ > General FAQ Questions > How much should I charge patients or third parties who request a copy of a patient’s dental record?

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The federal Health Insurance Portability and Accountability Act (HIPAA), which supersedes state law, prohibits dental offices from charging a patient or a patient’s representative for chart pulling or records handling. Dental offices can charge a fee for duplicating dental records; the maximum charges are: a duplication fee of no more than $1.04 per page for the first 30 pages, and no more than $.79 per page for all other pages. A “reasonable” fee may be charged for duplicating x-rays. If a provider is required by law to personally edit confidential information from a dental record, the provider can also charge the usual fee for a basic office visit. These charges are updated every two years by the Department of Health and are scheduled to be updated again in July 2011.

An office can require a patient to pay these charges prior to releasing copies of records, however, the office cannot refuse to provide copies if the patient has an outstanding balance for treatment.

For more information please refer to WAC 246-08-400.