Following, please find important information as it relates to the Texas Administrative Code Title 22, Part 9, Chapter 165, Rule 165.4 regarding Appointment of Record Custodian of a Physician's Records:
Appointed Custodian of Records until July 31st, 2023:
Bernard "Trey" Aoueille, III, M.D.
Attn: Teri Leach
1101 S. Capital of Texas Highway, Bldg. A, Ste. A200
Austin, TX 78746
(512)327-9400 ext. 1202
or email gilcustermd@gmail.com
Records Fees:
Custodian Fee:
$25.00 (applies to all records requests)
Records to Patient:
Digital copies: 1 - 500 pages = $25.00; 501+ pages = $50.00
Paper copies: 1 - 20 pages = $25.00, pages 21+ = $0.50 per page
Ex: A patient chart with a total of 505 copied pages would have the following fees:
Digital: $50.00 + $25.00 custodian fee = $75 total fee
Paper: $25.00 pages 1 - 20 + $242.50 pages 21 - 505 (@ 50 cents per page) + $25.00 custodian fee = $292.50 total fee
Records to another treating physician:
No fee regardless of page count.
Additional Important Information:
Click here for the RELEASE OF RECORDS AUTHORIZATION
PLEASE NOTE: It's important to fill this form out in its entirety and include an original signature. The first page of this document has detailed instructions for completing the form.
If you have any questions or need assistance with this form, please call Teri Leach at (512)327-9400 ext. 1202 or email gilcustermd@gmail.com.
Appointed Custodian of Records until July 31st, 2023:
Bernard "Trey" Aoueille, III, M.D.
Attn: Teri Leach
1101 S. Capital of Texas Highway, Bldg. A, Ste. A200
Austin, TX 78746
(512)327-9400 ext. 1202
or email gilcustermd@gmail.com
Records Fees:
Custodian Fee:
$25.00 (applies to all records requests)
Records to Patient:
Digital copies: 1 - 500 pages = $25.00; 501+ pages = $50.00
Paper copies: 1 - 20 pages = $25.00, pages 21+ = $0.50 per page
Ex: A patient chart with a total of 505 copied pages would have the following fees:
Digital: $50.00 + $25.00 custodian fee = $75 total fee
Paper: $25.00 pages 1 - 20 + $242.50 pages 21 - 505 (@ 50 cents per page) + $25.00 custodian fee = $292.50 total fee
Records to another treating physician:
No fee regardless of page count.
Additional Important Information:
- A signed Release of Records Authorization is required for each recipient of records.
- Billing records are considered separate from medical records and follow the same fee schedule.
- Custodian and Records fees must be paid in full prior to releasing records.
- The Custodian of Records will retain care of Dr. Custer's records and will receive fully executed records requests until July 31st, 2023 (no less than 90 days from April 30th, 2023.)
- Destruction of records will occur August 22, 2023 (15 business days after July 31st, 2023) and will be done in a manner that ensures continued confidentiality.
Click here for the RELEASE OF RECORDS AUTHORIZATION
PLEASE NOTE: It's important to fill this form out in its entirety and include an original signature. The first page of this document has detailed instructions for completing the form.
If you have any questions or need assistance with this form, please call Teri Leach at (512)327-9400 ext. 1202 or email gilcustermd@gmail.com.