When a physician's records are requested, only records created by or for that physician should be released. This would include discharge summaries and operative reports, as well as lab tests, radiologic reports and consultations ordered by that physician. In routine circumstances, the records supplied by other physicians or outside hospitals should not be supplied to requesters. In an emergency, release of such records may be necessary to allow for prompt and appropriate treatment decisions. In the event of such secondary release, notify the office of the physician or facility whose records you re-released.

If there are records from previous physicians or treatment facilities on which the physicians relied, the letter of transmittal to the requester should identify those other records and suggest that they be requested directly.