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laser + devices
body sculpting
spa
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laser + devices
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consultations
elective services
neuromodulators
fillers
laser + devices
body sculpting
spa
consultations
targeted
consultations
elective services
neuromodulators
fillers
specialized
injectables
laser + devices
body sculpting
spa
consultations
targeted
consultations
elective services
neuromodulators
fillers
specialized
injectables
laser + devices
body sculpting
spa
consultations
targeted
consultations
elective services
laser + devices
spa
consultations
targeted
consultations
elective services
neuromodulators
fillers
specialized
injectables
laser + devices
spa
consultations
targeted
consultations
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specialized
injectables
laser + devices
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spa
consultations
specialized
injectables
laser + devices
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revelus dermatology

4401 West Gate Blvd, Ste 120
Austin, TX, 78745
Phone: (512) 815-2559

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Medical Records

medical records (phi)

We prioritize your privacy and ease of access when it comes to your medical records. Understanding your health records is a part of ensuring the best care, and we've streamlined the process for your convenience.

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We adhere strictly to state and federal standards to manage and safeguard your Protected Health Information (PHI).

types of release requests

to the patient
  • EMR Portal: Free
  • Standard Release: $6.50
  • Extensive Release: Calculated costs for production, postage, and staff time

Should we refer you to another medical professional or facility, pertinent records for the consultation are typically sent at no charge. However, if extensive records or non-referred releases are requested, fees apply. All records are sent within 15 business days upon receiving an executed release and associated fees. For urgent cases, if the receiving facility informs us of an emergency, we aim to expedite the transfer, but fees still apply.

  • EMR Portal: Free
  • Standard Release: $6.50
  • Extensive Release: Calculated costs for production, postage, and staff time

Non-medical third-party entities—such as insurance firms, attorneys, and trusts—are charged when requesting records on a patient's behalf. Please note that while patients can facilitate transfer requests, third parties can not directly access the EMR portal.

  • EMR Portal: Free
  • Affidavit Request: $15.00
  • Standard Release: $25.00
  • Extensive Release: $25.00 for the first 20 pages, then $0.50 per page thereafter

Upon Dr. Anne Epstein's retirement in 2021, Revelus Dermatology assumed custodial medical record responsibilities for her patients. Should you transition your care to us, we'll cover the release fees to integrate all available records from Dr. Epstein's office into the EMR portal. Prior Dr. Epstein patients that have established care at our office are considered established and can access the EMR Portal. For all release requests, all available paper records will be digitized and / or duplicated as directed. All records provided “as is”.

  • EMR Portal: Not Available
  • Standard Release: $25.00 for up to 20 pages
  • Extensive Release: $25.00 for the first 20 pages, then $0.50 per page thereafter
  • Postage: If mailed, additional $5.00 per release

Specific guidelines apply to the production of records intended for disability claim documentation. Due to the complexity of these rules, they're not outlined in detail here. For information on fees and procedures related to this type of record request, kindly inquire.

Should you have requests beyond a release—such as completion of third-party forms, letters, or specific insurance appeals—please reach out directly via chat or phone. These requests, given their varied nature, have associated charges that can fluctuate based on their complexity and our team's involvement. For detailed pricing on such requests, kindly inquire.

access your records

  • Convenient Access: Retrieve, review, and manage your medical and billing records at no cost through our Electronic Medical Records portal.
  • Optimized Experience: For the best portal experience, we recommend using a desktop PC.
  • Getting Started: New patients will receive a welcome email with registration details following their initial appointment booking.
EMR Portal

Have questions? Chat with us.

PHI processing request

Obtaining Your Records from Other Parties: We can request your medical records from other providers or facilities at no cost to you.

Releasing Your Records: When you need us to send your records to another party, processing fees apply. Standard releases to patients or physicians are $6.50, while releases to third parties or custodial record requests are $25.00. These fees cover our staff's time to ensure accurate and secure transfer of your information.

How to Submit Your Request: You have two convenient options:

  • Download and Complete: Download our PDF form, fill it out, and return it to us
  • Electronic Submission via Chat: Start a chat session where you'll verify your phone number and name, then describe your request. We'll send you a form to sign electronically

What Happens Next: Once we receive your completed request, we'll process it according to HIPAA guidelines and contact you if we need any additional information.

Secure Chat

forms >

Patient forms are easily accessed on our website to be filled out prior to your medical or cosmetic dermatology appointments. Completed forms can be printed and brought to the office for a quicker check-in.

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At Revelus Dermatology, we’re dedicated to providing world-class dermatological care that's both accessible and affordable. With a variety of insurance plans accepted, we ensure you're always covered.

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