How to Request Your Imaging Records
How do I request copies of my X-rays, CT scans, or MRI images?
Check your patient portal for immediate access, then contact the facility's Health Information Management department and complete their release form specifying the exact studies, date range, and preferred format. Under HIPAA, they must respond within 30 days, and CDs typically cost $5-$25.
Your medical images belong to you. Under federal law, you have a legal right to access your X-rays, CT scans, MRIs, and other imaging studies. This guide walks you through the process of getting complete copies of your imaging records.
Your Legal Right to Access
The HIPAA Privacy Rule gives you the right to inspect, review, and receive a copy of your health information, including imaging records. Providers cannot deny you access because you have unpaid bills, and they must provide records in your requested format if possible.
Federal Timeline
HIPAA requires providers to fulfill requests within 30 calendar days. They can take one 30-day extension with written notice.
State Variations
Many states have stricter timelines. California requires 15 days. Check your state's specific requirements.
21st Century Cures Act
The Cures Act mandates that providers give patients immediate access to electronic health information, including radiology reports, through patient portals without delay. Deliberately holding back finalized reports is "information blocking" and is prohibited.
Step-by-Step Request Process
Check the Patient Portal First
Most healthcare systems now offer secure online patient portals with access to radiology reports and sometimes images themselves. This is the fastest way to get your records.
- • Look for sections labeled "Imaging," "Radiology," or "Test Results"
- • Reports should appear shortly after finalization under the Cures Act
- • Images may be viewable through an integrated DICOM viewer
Contact Health Information Management
If you need a portable copy (CD/DVD) or can't access the portal, contact the HIM or Medical Records department directly.
- • Find contact information on the facility's website
- • Request their "Authorization for Release of Information" form
- • Some facilities allow online form submission
Complete the Authorization Form
Be specific in your request to ensure you get complete records.
- • Specify the exact studies by type and date (e.g., "MRI of lumbar spine, March 15, 2024")
- • Request both the images AND the radiology report
- • Indicate your preferred format: CD/DVD, portal access, or secure electronic transfer
- • Include comparison studies if mentioned in reports
Understand Fees and Format Options
Providers can charge reasonable, cost-based fees for copies, but there are limits.
| Format | Typical Fee | Notes |
|---|---|---|
| Patient Portal | Free | Providers cannot charge for portal access |
| CD/DVD | $5-$25 | Covers media and labor costs |
| Printed Film | $5-$15 per sheet | Rarely needed; request digital instead |
Submit and Track Your Request
After submitting, keep documentation and follow up if needed.
- • Keep a copy of your completed authorization form
- • Use certified mail for proof of receipt
- • Note the date you submitted and the expected completion date
- • Call for a status update if you haven't heard back in 2 weeks
What You Should Receive
A complete imaging record includes multiple components. Make sure you receive all of them.
The Images
The actual pictures from your scan in DICOM format. For CT/MRI, this includes all sequences and series.
The Radiology Report
The radiologist's formal written interpretation, including findings, impressions, and recommendations.
A DICOM Viewer
If receiving a CD, it should include viewer software. If not, you can download a free viewer.
Comparison Studies
If the report references prior imaging for comparison, request those studies as well.
If you receive an incomplete record (e.g., images without the report), contact the HIM department immediately to request the missing components.
If Your Request Is Ignored or Delayed
| Timeline | Action to Take |
|---|---|
| 2 Weeks | Call HIM department for a status update |
| 30 Days | Send written follow-up citing HIPAA 30-day requirement |
| 30+ Days | Contact the HIPAA Privacy Officer; mention filing a complaint |
| 60+ Days | File a complaint with the HHS Office for Civil Rights |
Learn more about handling delayed imaging reports and your escalation options.
Let Us Handle Your Request
Skip the paperwork and phone calls. We'll request your complete imaging records on your behalf.
Frequently Asked Questions
How do I request copies of my X-rays, CT scans, or MRI images?
Check your patient portal for immediate access to reports and images. For full DICOM image files, contact the imaging facility's Health Information Management (HIM) department and complete their authorization for release form. Specify the exact studies, dates, and preferred format (CD or electronic). Under HIPAA, they must respond within 30 days.
How much does it cost to get copies of my imaging records?
Patient portal access to imaging reports is typically free under the 21st Century Cures Act. A physical CD with DICOM image files usually costs $5 to $25. Providers can charge reasonable fees for copying physical media but cannot charge for electronic access to your records. Check your state law, as some states have caps on medical record fees.
What should I specify in my imaging records request to make sure I get everything?
In your request, specify the exact studies by imaging type and date, ask for both the written radiology report and the image files, specify DICOM format (not just JPEGs), and request all series and sequences including any multi-phase or contrast studies. If the report references prior comparison studies, request those as well.
Can I request imaging records from a closed or sold imaging facility?
Yes. When a facility closes or is sold, their records are typically transferred to the acquiring entity or a designated custodian. Contact your state health department for guidance on locating records from closed facilities. The acquiring institution is responsible for fulfilling HIPAA records requests for records they have obtained.