
What to Do When Patient Records Are Delayed
Ayana Guzzino • August 14, 2025
Navigating Requests with Confidence, Clarity, and Compliance

Delays in receiving medical records are one of the most common frustrations we hear about from healthcare offices. Whether you’re waiting on x-rays, patient histories, or treatment notes, it can feel like a simple request is suddenly wrapped in red tape.
With a clear understanding of HIPAA regulations, a collaborative approach, and a steady focus on quality patient care, your clinic can reduce friction, improve communication with other offices, and navigate records-related delays with greater confidence and clarity.
To make this process even easier, we’ve created a set of ready-to-use Records Request Email Templates for healthcare offices. These templates were designed to help you communicate clearly, avoid delays, and stay HIPAA- and state-compliant. Download the Records Request Email Templates
A Common Scenario: When Policy Becomes a Barrier
A dental office submits a request to another provider for a patient’s records, which are needed before a scheduled procedure. The other office replies that the request must be submitted through their specific online portal — and once submitted, it may take up to 30 business days to process. No confirmation is provided, and no status update is available. The patient is growing anxious, the procedure must be rescheduled, and the receiving office is left feeling frustrated and powerless. This situation doesn’t reflect a bad actor. It reflects a inefficient process, often due to:
- Understaffed administrative teams
- Lack of understanding about the HIPAA rules
- Overreliance on policy templates
- Outdated systems for records handling
The good news? There are realistic, professional steps you can take to move things forward — and avoid unnecessary conflict.
What the Law Says About Records Release
HIPAA Right of Access
Under the federal HIPAA Privacy Rule:
- Patients have the right to access their records.
- Records must be provided within 30 calendar days (with an optional 30-day extension if justified in writing).
- Providers may require a written request but cannot create unreasonable delays or barriers.
Oregon Rule (Dental):
Oregon dental providers must provide records, including x-rays, within 14 days of a written request from the patient or their guardian.
Refer to OAR 818-012-0030(9)(a)
for direct language.
Internal policies should support timely care, rather than hindering it.
Records Release Toolkit
These steps are designed to support your office in responding effectively, lawfully, and professionally when facing delays in receiving patient records.
Clarify and Confirm
- Ensure the records request was received.
- Ask if additional documentation or formats are preferred (fax, secure email, form submission).
- Offer to resend or adjust the request to their stated process, so long as it does not impose unreasonable delays.
Connect with the Right Person
If initial communication isn’t productive, request to speak with a supervisor or office manager.
Approach the conversation with the goal of:
- Understanding their process
- Building a cooperative relationship
- Identifying a smoother path forward for both offices
Sample language:
“We’d like to make this process easier for everyone involved. Who is the best person to speak with about streamlining this request and ensuring the patient receives timely care?”
Provide Educational Context
If helpful, you may share federal guidance or state law — not as a threat, but as context:
“We understand your office has internal policies, but understand that under HIPAA and Oregon law, patient records must be released within specific timelines, and processes cannot create unreasonable delays. We’re happy to collaborate in a way that works for both offices and puts the patient’s needs first.”
Empower the Patient
Patients often get faster responses. Encourage them to:
- Submit their own written request
- Note the urgency for treatment
- Request an estimated date of release
- Reference their right to access under HIPAA
You can also provide the patient with a link to HHS’s Right of Access
page for more information.
When It Might Be Information Blocking
The 21st Century Cures Act prohibits covered entities from interfering with access to or use of electronic health information. While most delays are not intentional, consistent or unexplained refusals to share records may fall under the category of information blocking.
To learn more:
Use this step when education and collaboration have failed, and there’s clear harm being done to the patient’s ability to receive care.
Focus on Collaboration, Not Conflict
Delays in care can be deeply frustrating, especially when you’re doing everything right. Still, it’s important to remember that many offices are working with limited resources, under pressure, and with outdated systems.
Most delays are not acts of harm — they are opportunities for system improvement and clearer communication.
By staying professional, knowledgeable in law, and focused on the patient, your office can be a model for collaborative, compassionate compliance.
Need Support?
If you need help navigating a difficult records release situation, reach out anytime at:
- Phone: (541) 345-3875
- Email: Support@OshaHipaaTraining.com
And if you want to save time and take the guesswork out of your records requests, grab our free Records Request Email Template Pack — including the initial request, follow-up, and escalation messages. Get your templates here!

What Most Clinics Get Wrong About Infection Control Too many clinics make assumptions that lead to risk. Let’s clear up the two biggest misconceptions: ❌ Misconception #1: Only Licensed Providers Need Training Every Two Years The Truth: Infection control training isn’t just for dentists or hygienists. Every team member who may be exposed to bloodborne pathogens or infectious materials—including front desk staff and janitorial crew—should receive training annually at a minimum. ❌ Misconception #2 : OSHA and Infection Control Training Are the Same The Truth: While some topics overlap, they have different goals. OSHA training focuses on protecting employees from workplace hazards. Infection control training focuses on preventing disease transmission to protect patients, staff, and anyone entering the clinic. Not recognizing this difference can create compliance gaps and increase your risk. 3 Quick Infection Control Wins You Can Use Today Confirm who’s been trained: Create or update your staff training log. Anyone potentially exposed should have documented annual training. Walk your clinic like an inspector: Look for expired supplies, unlabeled containers, or missing hand hygiene signage. These are easy-to-fix red flags. Review your exposure plan: Is it up to date and specific to your current team and workflows? If it’s collecting dust, it’s time to revise. Stay Ready Year-Round with HCA At Healthcare Compliance Associates, we make infection control training simple, specific, and stress-free. Our Infection Control Compliance Package includes: ✅ Annual Onsite + Online Training – Relevant, current, and clinic-specific ✅ Exposure Plan Workbook – Easy-to-follow and ready for inspection ✅ Facility Walk-Thru – Catch issues before they cost you ✅ Year-Round Support – Get expert answers when you need them Contact Us TODAY to learn more about how maintain compliance with ease!

In healthcare, the word “HIPAA” carries weight—and sometimes, confusion. It's not uncommon for patients or their loved ones to claim that a privacy violation has occurred, even when no such breach has taken place. With the rise of online forums, social media, and secondhand information, many people feel empowered to speak up—but unfortunately, not all claims are grounded in a clear understanding of the law. So what should your clinic do when someone insists their privacy rights have been violated, but the situation appears to be a misunderstanding, miscommunication, or outright exaggeration? Here’s a clear, professional approach to handling these claims with integrity, care, and confidence. 1. Pause and Listen Carefully Even if the complaint seems misguided, every concern deserves a respectful ear. Listen without defensiveness. Let the individual fully explain their concern and take notes. The way you respond in these early moments can shape their overall perception of how seriously your office takes patient privacy. 2. Document Everything! Immediately document: Who made the complaint and when What they claimed happened Whether PHI was involved Any key phrases or direct quotes that help show the tone or seriousness of the complaint (e.g., “I’m calling my lawyer if you don’t fire them”) How your team responded in the moment Avoid including: Personal opinions, assumptions, or guesses about the person’s intentions (e.g., “they were probably lying” or “seemed unstable”) Emotional reactions or commentary (e.g., “the patient was being ridiculous”) Diagnoses, unless you're a licensed clinician referencing a known medical fact relevant to the incident Stick to observable facts and language. Your goal is to create a clear, professional record—not an interpretation of someone’s behavior. 3. Assess the Claim Objectively Not all HIPAA complaints indicate an actual violation. Sometimes patients misunderstand what HIPAA protects—or they become upset about an experience unrelated to privacy and reach for legal terminology out of frustration. Let’s define PHI (Protected Health Information): PHI includes any information that can be used to identify a patient and relates to their health status, care received, or payment for care. This can include names, addresses, birthdates, diagnoses, treatment details, or even something as simple as an appointment date—if it’s tied to the person’s identity. Ask yourself: Was any identifiable health information actually disclosed? Was the disclosure intentional or accidental? Was the recipient someone authorized to receive it? Did the patient misunderstand normal administrative processes (e.g., calling a patient’s name in the lobby, sending appointment reminders)? If there’s no PHI exposure, or the alleged "violation" falls outside the scope of HIPAA, it’s important to remain clear in your own understanding before addressing the concern further. 4. Conduct a Formal Internal Investigation Even if a claim seems unfounded, treat it with seriousness and respect. Review relevant documentation, talk to any staff involved, and consult your policies. This shows due diligence and creates internal accountability. If the complaint is clearly based on misinformation, consider it a learning opportunity—for both your team and the patient. 5. Respond with Compassion and Clarity Once you've reviewed the situation: Provide a calm, professional response Acknowledge the patient’s concerns Offer a brief explanation (in plain language) of what HIPAA does and does not cover, if appropriate Share any corrective steps taken or training provided—even if it’s just a refresher for your team Avoid legal jargon or a defensive tone. The goal is to rebuild trust, not to “win” an argument. 6. Don’t Let Emotions Guide the Response Some complaints can feel personal—especially if the patient posts online, demands punishment for a staff member, or becomes hostile. It’s essential that leadership remain steady. Avoid: Engaging in back-and-forth debates (especially on social media) Making decisions purely based on pressure or fear Escalating a situation that may simply need clear, compassionate communication If needed, consult legal counsel for guidance—especially if the patient is making legal threats or posting defamatory content. 7. Reinforce Training and Culture Regardless of the claim's validity, use the opportunity to reinforce best practices around privacy and professionalism. Offer a quick HIPAA refresher to staff and revisit your internal policies for any needed improvements. You might even review how your office handles: Social conversations inside or outside of the clinic- what isn't allowed under the HIPAA law Visible documents or whiteboards Use of devices or screens near patients Proactive steps build a culture of awareness and protect against future misunderstandings. Not every HIPAA complaint means your clinic is at fault—but every complaint is a chance to listen, learn, and lead with integrity. By responding calmly, documenting thoroughly, and reinforcing your team’s commitment to privacy, you protect both your practice and the trust your patients place in you. Need support navigating patient complaints or strengthening your privacy protocols? We’re here to help healthcare teams turn complex compliance into confident care. Reach out for resources, training, and guidance tailored to your unique needs.

Running a small dental or medical office means wearing a lot of hats. Beyond delivering great care, there's the crucial task of staying compliant with laws like HIPAA, OSHA, and CDC guidelines. An effective compliance program is more than a formality, it’s a vital part of safeguarding your patients, supporting your team, and maintaining your professional credibility. To make things easier, the U.S. Department of Health and Human Services (HHS) Office of Inspector General has outlined seven core elements every compliance program should include. Here's what they mean for small healthcare practices like yours: 1. Written Policies and Procedures Start with clear, straightforward policies that reflect how your office operates. Cover essential topics like patient privacy, billing practices, workplace safety, and infection control. Make sure everyone knows where to find these documents and how to follow them. 2. Compliance Oversight Appoint someone to oversee your compliance efforts. It might be your office manager, lead assistant, or even you. What's important is that someone keeps tabs on updates, deadlines, and compliance tasks. 3. Staff Training and Education Everyone in your office should understand the rules that apply to their job. That means training on HIPAA privacy and security, OSHA safety, and your specific office protocols. Do this when people are hired and at least annually. 4. Open Communication Create a work environment where team members feel comfortable speaking up. Whether it's an anonymous suggestion box, regular check-ins, or just a culture of openness, employees need a way to share concerns without fear. 5. Regular Monitoring and Auditing Check in regularly to see how things are going. That could mean reviewing OSHA logs, spot-checking sterilization records, or ensuring patient forms are properly handled. These routine audits help catch small problems before they become big ones. 6. Fair Enforcement of Rules Make sure your team understands that policies are enforced fairly and consistently. A simple, written discipline policy helps set expectations and avoid confusion. 7. Quick Response and Follow-Up If something goes wrong, act quickly to fix it. That might mean retraining a staff member, updating a policy, or reporting a serious issue. The goal is to correct the problem and make sure it doesn’t happen again. Putting these seven elements in place can seem like a big task, but you don’t have to do it all at once. Start with what you already have and build from there. Over time, these steps will help your office run more smoothly and with less risk. Bonus Resource: If you're ready to elevate your practice's success beyond compliance, check out my new book, Good Dentist, Poor Dentist—a practical guide for running a smarter, more profitable practice. Get your copy today at gooddentistbook.com .

In the hustle of running a dental office, it's easy to cut corners—especially if “no one's gotten hurt yet.” But when it comes to OSHA’s Bloodborne Pathogens Standard, skipping PPE like gowns isn’t just risky... it could be classified as willful neglect . And that’s a whole different level of consequence. Let’s break this down. The Gown Requirement (Yes, It’s a Requirement) Under 29 CFR 1910.1030(d)(3), OSHA requires employers to provide appropriate personal protective equipment (PPE) at no cost to employees. That includes gowns or lab coats when there’s a risk of exposure to blood, saliva, or other potentially infectious materials (OPIM)—which, let’s be honest, is every dental procedure. Willful = You Knew Better and Did It Anyway If your office knows gowns are required but chooses not to wear them, OSHA can classify this as a willful violation. That means you weren’t just unaware—you consciously decided not to comply. Potential fine? Up to $162,000 per violation in Oregon . And if multiple team members are working unprotected, each instance could be cited separately. Real Talk: What We’re Hearing in the Field At Healthcare Compliance Associates, we’ve had clients say: “We just don’t wear gowns—it gets too hot.” “Our hygienists think it’s unnecessary.” “We never had a problem before.” But here’s the thing: OSHA doesn’t base their standards on comfort or office culture. They base them on safety—and they have the authority to issue serious citations and hefty fines when those standards are knowingly ignored. What You Should Do Right Now 1. Review your PPE policy — Is it clear? Is it enforced? 2. Train your team — Make sure everyone knows when and why gowns are required. 3. Document your efforts — Annual training, policies, and regular safety meetings matter. 4. Talk to your safety officer — They should be empowered to monitor and correct compliance issues in real time. Final Word Wearing a gown might feel like a small thing. But choosing not to? That could become a very expensive decision. Protect your team, protect your patients, and protect your practice—don’t let something as preventable as gown compliance turn into a willful OSHA violation. Need help updating your policy or training your team? We’ve got you covered. Contact us at Kelli@OshaHipaaTraining.com.