We get LESS data than we request, in general. (I like to see years of lab work, not just the latest, which prompted the referral).
For outgoing Referrals, we likewise limit what we send, as in general there is a very narrow referral (chest pain, placement of dialysis access) and I attempt to outline that issue in latest note and letter.
Most of our outgoing records are for patient moving (entire chart , notes, inbound e-documents, lab, etc all burned to CD as PDFs) or a subpoena/request by lawyers for insurance/disability, etc. California law limits our charge in those circumstances to $15 (you can sure tell which profession writes laws in Ca), unless it is on microfiche (then 0.08 / page). We can charge additional $15/h for clerk time in Finding the records (not copying them, though). So they get a data dump of pdf files to CD as well, which is, shall we say, less than nicely organized.
