45 CFR § 164.524 & § 164.508 HIPAA Compliant
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TX County Subpoena, Coroner & EMS Authority

Bexar County, TX Medical Record Subpoenas, Coroner Autopsy & EMS Run Sheet Retrieval

Complete guide to medical record subpoenas in Bexar County District Courts (San Antonio), autopsy/toxicology retrieval from Bexar County Medical Examiner's Office (San Antonio), 911 ambulance run sheets from San Antonio Fire Department (SAFD) EMS, and hospital HIM retrieval across Bexar County, Texas under Tex. Health & Safety Code § 241.154 (Hospitals) & 22 TAC § 165.2 (Physicians).

Verified County-Level Legal & Forensic Authorities

Bexar County, Texas Subpoena, Coroner & EMS Matrix

Trial Court Civil Subpoena Venue
Bexar County District Courts (San Antonio)
Medical Examiner / Coroner Office
Bexar County Medical Examiner's Office (San Antonio)
County 911 EMS & Fire-Rescue Dispatch
San Antonio Fire Department (SAFD) EMS
Governing Statute & Turnaround Window
Tex. Health & Safety Code § 241.154 (Hospitals) & 22 TAC § 165.2 (Physicians) • 15 business days after receipt of request and fee under Tex. Health & Safety Code § 241.154(b)!
Post-Ciox v. Azar Statutory Copying Fee Cap (TX)
Hospitals (THSC § 241.154): CPI-adjusted basic retrieval fee (~$52.12+ for pgs 1–10) + tiered per-page rates (11–60, 61–400, 401+) for paper; EHR records capped at 1–25 pgs flat rate + $1.00/pg thereafter. $0.00 FREE copy for disability benefit applications/appeals under THSC § 161.202!

County-Level Record Retrieval in Bexar County, TX

While clinical hospital charts follow state-wide HIPAA and Tex. Health & Safety Code § 241.154 (Hospitals) & 22 TAC § 165.2 (Physicians) rules, three critical litigation records in Bexar County must be retrieved directly from county-level authorities:

County AuthorityDesignated Agency in Bexar CountyDeliverable & Authorization Rule
1. Forensic Autopsy & ToxicologyBexar County Medical Examiner's Office (San Antonio)Final Autopsy Protocol, Forensic Toxicology Report, Investigator Narrative & Scene Photos (Requires Next-of-Kin / Estate Executor Release or Subpoena)
2. 911 Ambulance & Paramedic PCRsSan Antonio Fire Department (SAFD) EMSNEMSIS Prehospital Care Reports (PCRs), ECG Rhythm Strips, 911 CAD Dispatch Logs & EMS Itemized Transport Billing
3. Civil Subpoena Duces TecumBexar County District Courts (San Antonio)Certified Hospital & Physician Charts with Custodian of Records Affidavit under Tex. R. Evid. 902(10) Business Records Affidavit & Tex. Civ. Prac. & Rem. Code § 18.001 (Billing Cost & Necessity Affidavit) & TRCP Rule 200 DWQ
Tier 3 Medical Center Cities in Bexar County

Major Hospital Cities & Trauma Centers in Bexar County

Select a city in Bexar County to view its specific hospital HIM desks, UB-04 billing offices, PACS radiology film libraries, and ROI vendor assignments:

Primary Hospitals & Trauma Centers Serving Bexar County:

  • University Hospital (University Health — South Texas Level I Trauma & Pediatric Trauma)
  • Brooke Army Medical Center (BAMC / SAMMC — DoD Level I Trauma & Burn Center)
  • Methodist Hospital (HCA / Methodist Healthcare San Antonio)
  • Baptist Medical Center (Tenet)