Fee Schedules
      Back to home
      1. MindWeal
      2. Policies and Guidelines
      3. Fee Schedules

      Medical Records Release Fees

      At MindWeal Health, we are committed to providing seamless and transparent access to your medical records. Please review our policy below to understand the fees associated with different types of requests.

      For Patients

      • Electronic Records (PDF, password-protected, via email): $25
      • Electronic Records (provided on a flash drive): $50 for shipping and processing

      For Businesses (e.g., Attorneys)

      • Electronic Records (PDF, password-protected, via email): No charge
      • Electronic Records (provided on a flash drive):
        • $0.30 per page for the first 25 pages
        • $0.25 per page for pages 26 to 50
        • $0.10 per page for each page over 50

      Certification or Notarization of Documents

      • $100: Dr. Bansal is the current custodian of all medical records. If a notarized Affidavit of Custodian of Medical Records is required, he will need to visit a bank for notarization. Dr. Bansal's hourly rate is $400, and we are charging a flat fee equivalent to 15 minutes of his time for this service.
      • Documents can also be notarized in our office by a mobile notary, with the cost covered by the requesting party.

      Process

      Authorization

      Complete the “Authorization to Release Medical Information” form.

      • For patients 18 and older: completed by the patient
      • For patients 12 years and younger: completed by a guardian
      • For patients 12 to 18 years: completed by both the patient and the guardian

      Payment

      The cost of obtaining the records must be paid in advance via a check payable to MindWeal.

      Special Notes

      • We do not provide paper copies of medical records.
      • If the records are requested to support claims for federal veterans' disability benefits, federal Social Security or Supplemental Security Income benefits, or Aid to the Aged, Blind, or Disabled benefits, one complete copy of the patient's records will be provided at no charge.

      We strive to make this process as smooth and efficient as possible for you. Should you have any questions or need further assistance, please do not hesitate to contact us.

      Thank you for your understanding and cooperation.