Guam Medical Record Retrieval, Statutory Copying Fee Caps & Subpoena Rules (10 GCA § 11101 et seq. (Guam Patient Records Act) & 45 CFR § 164.524)
Complete guide to Guam medical record retrieval, comparing the Federal HIPAA Patient Rate (45 CFR § 164.524) against Guam's third-party copying fee caps under 10 GCA § 11101 et seq. (Guam Patient Records Act) & 45 CFR § 164.524 (post-Ciox Health v. Azar), mandatory 30 calendar days response deadlines, and Guam R. Evid. 902(11) & Guam R. Civ. P. 45 (Superior Court of Guam Subpoena) trial authentication.
Guam (GU) Medical Record Laws at a Glance
- Governing Fee Statute
- 10 GCA § 11101 et seq. (Guam Patient Records Act) & 45 CFR § 164.524
- Mandatory Response Deadline
- 30 calendar days
- State Statutory Third-Party Copying Fee Schedule (Post-Ciox v. Azar)
- Federal 45 CFR § 164.524 Patient Rate (~$6.50 electronic cap) for direct patient requests; reasonable per-page reproduction fee schedule under 10 GCA for third-party legal requests
- Custodian Affidavit & Evidence Rule
- Guam R. Evid. 902(11) & Guam R. Civ. P. 45 (Superior Court of Guam Subpoena)
- Minimum Record Retention Rule
- 7–10 years adult hospital records; minor until age 21
Guam Medical Record Fee Comparison: Patient Direct vs. Third-Party Law Firm
Under Ciox Health, LLC v. Azar, 435 F. Supp. 3d 30 (D.D.C. 2020), the federal HIPAA “Patient Rate” applies strictly to direct-to-patient requests, while third-party attorney and insurance requests in Guam are governed by 10 GCA § 11101 et seq. (Guam Patient Records Act) & 45 CFR § 164.524:
| Requirement | Patient Direct (45 CFR § 164.524) | Guam Third-Party Attorney (10 GCA § 11101 et seq. (Guam Patient Records Act) & 45 CFR § 164.524) | Guam Civil Subpoena & Affidavit |
|---|---|---|---|
| Maximum Copying & Search Fee | Reasonable cost-based labor only when delivered directly to patient ($0 search fee) | Federal 45 CFR § 164.524 Patient Rate (~$6.50 electronic cap) for direct patient requests; reasonable per-page reproduction fee schedule under 10 GCA for third-party legal requests | Statutory subpoena clerical & per-page limits under 10 GCA § 11101 et seq. (Guam Patient Records Act) & 45 CFR § 164.524 |
| Mandatory Turnaround Window | 30 calendar days (or 30 days federal ceiling, whichever is shorter) | 30 calendar days | Subpoena return date + mandatory consumer notice window |
| Self-Authentication in Court | Uncertified unless Custodian Affidavit is requested | Certified Custodian Declaration under Guam R. Evid. 902(11) & Guam R. Civ. P. 45 (Superior Court of Guam Subpoena) | Mandatory Custodian Affidavit or Certificate of No Records (Guam R. Evid. 902(11) & Guam R. Civ. P. 45 (Superior Court of Guam Subpoena)) |
Guam County Subpoena Venues, Coroner Autopsy & EMS Run Sheet Hubs
Autopsy and forensic toxicology reports, 911 paramedic Prehospital Care Reports (PCRs), and trial court civil subpoenas in Guam are governed at the county/district level. Select a county below to view its trial court subpoena venue, Medical Examiner office, and 911 EMS agency:
Major Guam Medical Center Cities (HIM, Billing & PACS Routing)
Select a major medical center city in Guam to view its Level I/II trauma centers, acute-care hospitals, VA Medical Centers, and 3-department ROI vendor routing:
Major Guam Hospital Systems & Retrieval Hubs
We retrieve complete inpatient and outpatient clinical charts, UB-04 / CMS-1500 itemized billing ledgers, and DICOM radiology studies from all healthcare systems in Guam, including Guam Memorial Hospital Authority (GMHA — Tamuning), Guam Regional Medical City (GRMC — Dededo), U.S. Naval Hospital Guam (Agana Heights), and regional clinics.