U.S. Virgin Islands Medical Record Retrieval, Statutory Copying Fee Caps & Subpoena Rules (19 V.I.C. § 225 & 45 CFR § 164.524 (Federal HIPAA Right of Access))
Complete guide to U.S. Virgin Islands medical record retrieval, comparing the Federal HIPAA Patient Rate (45 CFR § 164.524) against U.S. Virgin Islands's third-party copying fee caps under 19 V.I.C. § 225 & 45 CFR § 164.524 (Federal HIPAA Right of Access) (post-Ciox Health v. Azar), mandatory 30 calendar days response deadlines, and V.I. R. Evid. 902(11) & V.I. R. Civ. P. 45 (Superior Court of the Virgin Islands Subpoena) trial authentication.
U.S. Virgin Islands (VI) Medical Record Laws at a Glance
- Governing Fee Statute
- 19 V.I.C. § 225 & 45 CFR § 164.524 (Federal HIPAA Right of Access)
- Mandatory Response Deadline
- 30 calendar days
- State Statutory Third-Party Copying Fee Schedule (Post-Ciox v. Azar)
- Federal 45 CFR § 164.524 cost-based labor rate applies to direct patient requests; territorial hospital reproduction fee schedule applies to third-party attorney requests under 19 V.I.C. § 225
- Custodian Affidavit & Evidence Rule
- V.I. R. Evid. 902(11) & V.I. R. Civ. P. 45 (Superior Court of the Virgin Islands Subpoena)
- Minimum Record Retention Rule
- 7–10 years adult hospital records; minor until age 21
U.S. Virgin Islands 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 U.S. Virgin Islands are governed by 19 V.I.C. § 225 & 45 CFR § 164.524 (Federal HIPAA Right of Access):
| Requirement | Patient Direct (45 CFR § 164.524) | U.S. Virgin Islands Third-Party Attorney (19 V.I.C. § 225 & 45 CFR § 164.524 (Federal HIPAA Right of Access)) | U.S. Virgin Islands 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 cost-based labor rate applies to direct patient requests; territorial hospital reproduction fee schedule applies to third-party attorney requests under 19 V.I.C. § 225 | Statutory subpoena clerical & per-page limits under 19 V.I.C. § 225 & 45 CFR § 164.524 (Federal HIPAA Right of Access) |
| 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 V.I. R. Evid. 902(11) & V.I. R. Civ. P. 45 (Superior Court of the Virgin Islands Subpoena) | Mandatory Custodian Affidavit or Certificate of No Records (V.I. R. Evid. 902(11) & V.I. R. Civ. P. 45 (Superior Court of the Virgin Islands Subpoena)) |
U.S. Virgin Islands 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 U.S. Virgin Islands 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 U.S. Virgin Islands Medical Center Cities (HIM, Billing & PACS Routing)
Select a major medical center city in U.S. Virgin Islands to view its Level I/II trauma centers, acute-care hospitals, VA Medical Centers, and 3-department ROI vendor routing:
Major U.S. Virgin Islands 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 U.S. Virgin Islands, including Roy Lester Schneider Regional Medical Center (St. Thomas), Gov. Juan F. Luis Hospital & Medical Center (St. Croix), Myrah Keating Smith Community Health Center (St. John), and regional clinics.