Patients and Families

Fee Schedule

If you are requesting copies of your child's medical records for your personal use, the following fees apply*:

Price per page for pages 1-20


Price per page for pages 21-60


Price per page for pages 61+


Microfilm per page



Postage and handling fees are additional and based upon package size and ship to address. You will receive a pre-payment request once your child’s records have been retrieved and copied. Upon receipt of payment, Verisma will forward your child’s records to the designated address.

Flat fee for production of records to support any claim under Social Security Act or claims under other federal or state financial needs-based programs


Flat fee for supplying records requested by a district attorney


Search and retrieval fee for records requested by someone other than the patient or the patient’s parent or other legal representative


Children's Hospital has the capability to release electronic records on a compact disc. The Act provides that only a fee equal to the labor cost can be charged for an electronic request.  Children's policy is to charge a base rate of $5 per CD and 7 cents per page.

Verisma’s processing department is available from 8 a.m. to 6 p.m, Monday through Friday. Once an authorization for release of medical records is received, it may take up to 10 days to process your request. For more information, please call the correspondence staff at 412-692-6834.

*Health care providers and facilities can charge for responding to requests for medical records from patients, attorneys and other patient designees according to 42 Pa. C.S. § 6152 and 6155.

Last Update
August 13, 2015
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Last Update
August 13, 2015