lol so yeahhhhh and I am with you sentiment-wise but to OP I would suggest taking a non-confrontational tone (while also not caving to demands for more than a nominal charge for records). HIPAA is a facepalm kind of sorcery/science issue where healthcare people and legally literate people treat one another like witches. I have literally mailed medical offices highlighted copies of the HIPAA provisions showing that what they were demanding was illegal, and then received stubbornly ignorant (and flat wrong) ‘nuh-uh’ responses from lawyers hired by said medical offices. tl;dr You’ve got right (and the law) on your side (this is not legal advice) but if you talk too much about law you may bait them into flexing their legal ignorance in combination with their financial flexibility which is a mistake even lawyers sometimes make and regret.