1-800-749-6160

Most insurance Accepted
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Medical Records / Health Information Management (HIM)

Authorization for Record Copies
Process for Requesting Medical Record Copies:

All inpatient and intensive outpatient (IOP) medical records for La Hacienda Treatment Center, La Hacienda Solutions, and La Hacienda College Station patients can be requested from our central Medical Records Department located in Hunt, Texas. There is no cost for a copy of the medical record.

Download this form from our website, complete and sign** the “Authorization to Release Protected Health Information” form and return the completed form to us by U.S. Mail, Courier service such as FedEx or UPS, fax, or email to: medrec@lahacienda.com
**NO ELECTRONIC SIGNATURES accepted. Signature must match patient file.

Medical Records/HIM Contact Information:
La Hacienda Treatment Center
Medical Records/HIM Department
P.O. Box 1, Hunt, TX, 78024
Fax Number: (830) 238-6119
Toll Free Phone Number: 1-800-749-6160, ext. 605

Medical Records/HIM Hours of Operation:
Monday through Friday, 9:00 a.m. to 5:00 p.m. Central Standard Time.
After hours, please leave a confidential voice mail, and we will return your call.

Download the Authorization to Release Protected Health InformationAuthorization to Release Protected Health Information

Revoking an Authorization
Process for Revoking an Active Medical Record Authorization Request:

All revocation for active authorizations (not yet expired) for inpatient and intensive outpatient (IOP) medical records for La Hacienda Treatment Center, La Hacienda Solutions, and La Hacienda College Station patients can be sent to our central Medical Records Department located in Hunt, Texas. The revocation will begin as soon as the notice is received in our office.

Download this form from our website, complete and sign** the “Revocation of Authorization to Release Protected Health Information” form and return the completed form to us by U.S. Mail, Courier service such as FedEx or UPS, fax, or email to: medrec@lahacienda.com
**NO ELECTRONIC SIGNATURES accepted. Signature must match patient file.

Medical Records/HIM Contact Information:Medical Records/HIM Hours of Operation:
Monday through Friday, 9:00 a.m. to 5:00 p.m. Central Standard Time. After hours, please leave a confidential voice mail, and we will return your call.

Download the Revocation of Authorization to Release Protected Health InformationThe Anonymous People Movie

Authorization for Pre-Admission Letters
Process for obtaining a pre-admission letter for possible future screening or tentative program start date:

For use by all inpatient and intensive outpatient (IOP) patients at La Hacienda Treatment Center, La Hacienda Solutions, and La Hacienda College Station.

Download this form from our website, complete and sign** the “Authorization to Release Pre-Admission Letters” form and return the completed form to us by U.S. Mail, Courier service such as FedEx or UPS, fax, or email to: InquiryCallCenter@lahacienda.com
**NO ELECTRONIC SIGNATURES accepted.

Admissions Department Contact Information:
La Hacienda
Admissions Department
P.O. Box 1, Hunt, TX, 78024
Fax Number: (830) 238-3120
Toll Free Phone Number: 1-800-749-6160

Admissions Department Hours of Operation:
Monday through Friday, 8:00 a.m. to 5:00 p.m. Central Standard Time.

Download the Admissions Release FormAdmissions Release Form

Business Office / Authorization for Payment
Process for obtaining Payment and Reimbursement (Financial) Release form:

For use by all inpatient and intensive outpatient (IOP) patients at La Hacienda Treatment Center, La Hacienda Solutions, and La Hacienda College Station.

Download this form from our website, complete and sign** the “Authorization to Release Information for Payment and Reimbursement Purposes” form and return the completed form to us by U.S. Mail, Courier service such as FedEx or UPS, fax, or email to: BusinessOfficeStaff@lahacienda.com
**NO ELECTRONIC SIGNATURES accepted.

Business Office Contact Information:
La Hacienda
Business Office
P.O. Box 1, Hunt, TX, 78024
Fax Number: (830) 238-4070
Toll Free Phone Number: 1-800-749-6160

Business Office Hours of Operation:
Monday through Friday, 8:30 a.m. to 5:00 p.m. Central Standard Time. After hours, please leave a confidential voice mail, and we will return your call.

Download the Authorization to Release Information for Payment and Reimbursement PurposesThe Anonymous People Movie

Billing and Collections / To Request a Copy of Your Bill
Process for Requesting BILLING RECORD Copies:

All inpatient and intensive outpatient (IOP) Billing Records for La Hacienda Treatment Center, La Hacienda Solutions, and La Hacienda College Station patients can be requested from our central Billing and Collections Department located in Hunt, Texas.

Download this form from our website, complete and sign** the “Authorization to Release BILLING RECORDS” form and return the completed form to us by U.S. Mail, Courier service such as FedEx or UPS, fax, or email to: Billing_Collections@lahacienda.com
**NO ELECTRONIC SIGNATURES accepted.

Billing and Collections Contact Information:
La Hacienda
Billings and Collections
P.O. Box 1, Hunt, TX, 78024
Fax Number: (830) 238-6105
Toll Free Phone Number: 1-800-749-6160

Billing and Collections Hours of Operation:
Monday through Friday, 8:00 a.m. to 4:30 p.m. Central Standard Time. After hours, please leave a confidential voice mail, and we will return your call.

Download the Authorization to Release Billing RecordsAuthorization to Release Billing Records

Frequently Asked Questions for Inpatient and Outpatient Medical Record Copies
 
 
Is there a charge for a copy of my Medical Records?
No, there is not a charge for a copy of your medical records.
 
 
Can anyone get a copy of my medical records?
Patient records will ONLY be released by means of a completed “Authorization to Release Protected Health Information” form signed by the patient; a court order; or where the law requires us to do so.
 
 
Do I have to specify a timeframe and service level on the authorization to get my medical records?
Yes, to identify the correct medical record needed, we need to know your dates of stay and which services we provided to you (Inpatient or Outpatient).
 
 
How do I get a letter to verify that I was treated at La Hacienda (Inpatient/Outpatient)?
(i.e. Certificate of Completion)

Specify on the “Authorization to Release Protected Health Information” form that you would like such a letter by checking the selection titled “Attendance Letter”. This letter only includes the date of admission/discharge and your discharge status (such as “successfully completing the program”). This letter does not include your diagnosis or recommendations for after-care. Should you need these items added to the letter, please specify so on the authorization under the selection titled “Other” and we will create a letter based on your specific needs.
 
 
Will you send me my entire record?
With the patient’s written authorization, we will mail the entire record for the time period indicated to the address listed on the “Authorization to Release Protected Health Information” form. Entire (full) Medical Record requests will be sent by certified mail to the recipient address on the authorization.
 
 
Will you send my records via e-mail?
With the patient’s written authorization, we will email records through our secure portal to the email address listed on the “Authorization to Release Protected Health Information” form.
 
 
Will you send me my records on an encrypted DVD?
Yes, for current and alumni patients (only) who want a copy of their own medical records, we will provide those records on a DVD as requested.
With the patient’s written authorization, we will place the entire medical record on an encrypted password protected DVD, and mail it to the recipient address on the authorization. Please note: The password is sent separate of the DVD; you will receive two envelopes from La Hacienda to complete this transaction (one envelope contains the DVD, the second envelope contains a letter with the password). All DVD requests are processed at our Central Medical Records Department located in Hunt, Texas.
 
 
Will you send my records via fax?
With the patient’s written authorization, we will fax records to the fax number listed on the “Authorization to Release Protected Health Information” form only after we have called the source to confirm that the fax number is valid. Please note: We can only send 10 document pages via fax. Larger page counts will be mailed to the recipient.
 
 
How long does La Hacienda maintain my Medical Records (Inpatient/Outpatient)?
In accordance with Texas State Retention Laws, patient records are maintained for a period of (10) ten years from the time of discharge from the patient’s last visit date with us, regardless of location of services (Hunt, Austin, College Station). At the 10th anniversary date, the records are destroyed by a secure means.
 
 
Do you have more questions? Please contact us at:
La Hacienda Treatment Center
Medical Records/HIM Department
P.O. Box 1
Hunt, TX 78024
Phone: (800) 749-6160 x605
Fax: (830) 238-6119

Medical Records/HIM Hours of Operation:
Monday through Friday, 9:00 a.m. to 5 p.m. Central Standard Time.
After hours, please leave a confidential voice mail, and we will return your call.