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You are here: Home / Divorce / Can Medical Records Be Subpoenaed in a Divorce?
Can Medical Records Be Subpoenaed in a Divorce?

Can Medical Records Be Subpoenaed in a Divorce?

April 22, 2025
Written by Christopher Migliaccio

Table of Contents

Toggle
  • Understanding Medical Privacy: HIPAA Basics
  • What’s a Subpoena Anyway?
  • So, Can Medical Records Be Subpoenaed in a Divorce?
  • Relevance: What Makes Records Fair Game?
  • Examples of Relevance in Divorce Cases
  • The Texas Process for Subpoenaing Medical Records
  • Protections and Limits on Record Access
  • What If My Spouse Tries to Subpoena My Medical Records?
  • How Careful Negotiation Protected a Client’s Medical Privacy
  • Can I Subpoena My Spouse’s Medical Records?
  • Why You Need a Texas Divorce Lawyer
  • Frequently Asked Questions
  • Conclusion

Going through a divorce often raises many difficult questions and concerns. You may worry about your privacy, especially when it comes to your medical history. So, you might ask: can medical records be subpoenaed in a divorce?

It’s natural to feel protective of your health details, and laws are in place to safeguard this personal information. However, legal proceedings—like a divorce—can sometimes create exceptions. It’s important to understand when and why your health information might be requested, as certain facts can impact the outcome of family law cases.

Courts can admit medical records as evidence if they are relevant to the case. This can carry personal implications and stigma for those who must disclose sensitive medical information.

Let’s dive deeper into whether Texas law allows medical records to be subpoenaed in a divorce. To answer this, we need to consider both privacy rights and legal rules

Understanding Medical Privacy: HIPAA Basics

You’ve likely heard of HIPAA, the Health Insurance Portability and Accountability Act. This is a federal law which protects sensitive patient health data. It keeps health plans, healthcare clearinghouses, and any health care provider from sharing details about your treatment unless you agree.

HIPAA.  The Health Insurance Portability and Accountability Act of 1996.

Protected health information, or PHI, can include:

  • Your diagnoses
  • Details about your treatments
  • Test results
  • Billing information connected to you

HIPAA gives you major control over your medical history. It also sets a privacy policy standard for any group that handles your data.

However, HIPAA doesn’t completely block the sharing of medical records. In some cases, the law requires the disclosure of health information. For example, during court proceedings such as a divorce, parties may need access to medical records. While HIPAA and state laws generally treat medical records as privileged, certain legal situations can override that protection.

What’s a Subpoena Anyway?

A subpoena is a legal order that tells someone they must do something specific. Sometimes it requires them to appear in court and testify. Other times, it demands documents or records.

In divorce situations, the kind of subpoena that matters is a “subpoena duces tecum.” Lawyers use it during divorce litigation to gather evidence. This process is crucial as it allows for the discovery of important documents, including medical records, which can impact court decisions. Subpoenas also appear in other cases, such as personal injury or business disputes.

So, Can Medical Records Be Subpoenaed in a Divorce?

Yes, but it’s not automatic. The records must be relevant to the specific legal questions being decided in the divorce.

Parties may be arguing about the relevance of medical records during the discovery phase.

A judge will not let a spouse dig through medical records just to see if they can find something harmful or embarrassing. The requested information must connect clearly to an issue the court is deciding—like child custody or spousal support. This “relevance” rule prevents a fishing expedition.

Relevance: What Makes Records Fair Game?

Why might your mental health history or medical history matter in a Texas divorce? Several reasons could apply, often depending on the arguments you or your spouse make during divorce proceedings.

Some common examples include child custody cases or disagreements over visitation schedules. If a parent’s mental or physical condition could impact their ability to care for children, health records might be relevant. This might involve:

  • Untreated substance abuse
  • Serious mental illness that affects decision-making
  • A physical medical condition that makes safe child supervision difficult

In spousal support (also called spousal maintenance) disputes, one spouse might argue they cannot work due to a medical condition. So, in that case, the other spouse could ask for medical records to confirm or challenge the claim.

patient medical history record in the article can medical records be subpoenaed in a divorce

In fault-based divorces, such as those involving cruelty, a spouse might link the cruelty to the other person’s mental health problem. Still, judges often want proof that goes beyond just therapy records or doctor files. They want to ensure the request is truly tied to the legal dispute.

Examples of Relevance in Divorce Cases

Below are situations where medical records might matter in a divorce:

Severe Depression in a Child Custody Case

  • If one parent was hospitalized for severe depression, the other parent might subpoena records from that period to assess whether the condition affects the parent’s ability to provide care.

Claiming a Serious Injury for Spousal Support

  • If a spouse asks for spousal support because a back injury prevents them from working, the other spouse could subpoena records from the treating doctor and physical therapist to confirm the severity.

Ongoing Substance Abuse Allegations

  • If one spouse alleges that the other has a substance abuse problem affecting their parenting, the court may subpoena rehabilitation clinic records.

Reimbursement for Elective Procedures

  • If one spouse used community funds to pay for expensive plastic surgery unrelated to a medical need, the other spouse could subpoena billing records to support a reimbursement claim.

These examples show how the court focuses on information that relates to a legal question. Parties must prove the relevance of medical records to the legal questions at hand.

The Texas Process for Subpoenaing Medical Records

In a Texas divorce, getting medical records from a doctor’s office or hospital follows certain steps. Usually, an attorney sends a subpoena duces tecum to the health care provider holding the records. This formally tells them to hand over certain documents, such as therapy records or a person’s overall medical history.

Under Texas rules that align with HIPAA, you generally get notice if your medical records are being subpoenaed. Your spouse’s attorney must tell you (or your lawyer) about the plan to request those records. That way, you have time to object before anything is shared.

If you think the subpoena is improper, your lawyer can file a “Motion to Quash.” This legal motion asks the judge to reject or limit the subpoena. Reasons might include:

  • The records aren’t relevant
  • They’re protected by privilege
  • The request covers too long a time period
  • Gathering them creates an undue burden

A judge can review these requests carefully—sometimes privately—before allowing any release.

Protections and Limits on Record Access

Even if medical records can be subpoenaed, there are limits. HIPAA sets rules for disclosures in court. A health care provider can reply to a subpoena if:

Selective focus of pen, sphygmomanometer, inscription with notebook written with HIPAA ( Health Insurance Portability and Accountability Act ) Privacy Rule.

  • The person whose records are requested was notified and had a chance to object
  • A court order allows it

Texas also recognizes the physician-patient privilege. Generally, what you tell your doctor for treatment is confidential. But this can change if you bring up your health as part of your divorce claim—like saying you can’t work because of a medical condition.

When you “put your health at issue,” you might waive the privilege on that topic. Even then, the person requesting the records must show they are relevant to the case. Individuals have the right to refuse the disclosure of their medical records and can file a motion to quash.

Extra Protection for Sensitive Records

Some records need stronger protection under Texas and federal law:

  • Mental health documents often require a specific court order (Texas Health and Safety Code, Chapter 611).
  • Strict federal rules (42 CFR Part 2) protect substance abuse treatment records. Typically, you must provide written consent or a court must issue a special order that demonstrates a compelling reason to release them

Even if the records are relevant, courts can still control how they’re shared. A judge might

  • Order only certain pages from a set time period to be turned over
  • Let only lawyers or the judge see the records (sometimes labeled “Attorneys’ Eyes Only”)
  • Redact (black out) irrelevant or highly sensitive details

Below is a quick table showing how these rules might apply:

Area of Divorce

Potential Relevance of Medical Records

Common Protections/Considerations

Child Custody / Child Visitation – What Happens After Temporary Custody Is Granted

Parent’s ability to provide safe care (mental health, substance abuse, physical limits).

Relevance must be direct; mental health & substance abuse records have higher protection; focus on current fitness for parenting.

Spousal Support / Maintenance

Spouse’s claim they cannot work due to a medical condition; payer’s health affecting ability to pay.

You must put the condition at issue; records must be tied to proving or disproving work capacity. The court may narrow the scope to protect privacy.

Fault-Based Divorce (e.g., Cruelty)

Linking cruelty to a spouse’s mental health condition.

High standard for relevance; watch out for fishing expedition requests; direct evidence of behavior is often required.

Annulment / Reimbursement Claims

Conditions existing at marriage (impotence, undisclosed mental illness); using community funds for separate treatments.

Must show specific facts; the request must directly relate to the grounds for annulment or for reimbursement.

Domestic Violence Allegations

Injuries and therapy records documenting abuse.

Very sensitive; might require a protective order; the court often closely reviews these records before sharing them.


What If My Spouse Tries to Subpoena My Medical Records?

It can be upsetting to find out your spouse’s attorney wants your private health files or mental health history. If you are concerned about your medical records being subpoenaed, don’t ignore it. Call your divorce lawyer right away.

Your attorney can review key questions:

  • Are these records actually tied to an issue in the divorce?
  • Is the request too broad (covering your entire medical history instead of just a certain issue)?
  • Does a privilege apply (physician-patient or special protections for mental illness or substance abuse)?

If your lawyer decides the subpoena is too much, they can file a Motion to Quash. This officially challenges the request and asks the court to step in. Sometimes, raising valid concerns leads the other party to narrow or withdraw their request on their own.

Your lawyer may also negotiate directly with your spouse’s attorney. You might agree to provide only a smaller set of records that address a specific point, like proving or disproving a disability for spousal support. Or you might set up a protective order that controls who sees the documents.

How Careful Negotiation Protected a Client’s Medical Privacy

One of the most important things I’ve learned as a divorce lawyer is how private medical information can be. In a recent child custody case, the other parent wanted to subpoena all of our client’s mental health history. Our client worried personal therapy notes could give a false picture of her parenting and negatively impact her rights.

HIPAA - Health Insurance Portability and Accountability Act in article, can medical records be subpoenaed in a divorce

We filed a Motion to Quash because the request was too broad, and we also spoke with the other side’s attorney. We reached an agreement to give only limited records from a shorter time frame that related directly to current custody questions.

The judge approved our plan. This case showed how important it is to manage clients’ medical records carefully in a divorce.

Can I Subpoena My Spouse’s Medical Records?

Yes, but the same standards apply if you want to see your spouse’s medical records. You must have a valid, legal reason that ties to a question the court will decide—like child custody, child support, or spousal support.

Your request must be clearly relevant. For example:

  • Is their physical or mental illness affecting their party’s ability to parent?
  • Are they claiming a disability that changes child support or spousal support?

The opposing party may request access to medical records if they believe it is justified by its relevance to the case. Judges don’t like fishing expedition tactics. If your request looks like a random search for damaging details, it might be denied. You could even hurt your credibility.

Remember how sensitive health records are, such as therapy records. If the other side says no, the court reviews the laws under HIPAA and Texas rules before granting a subpoena. Think carefully and talk to your lawyer about the pros and cons of demanding these records.

Why You Need a Texas Divorce Lawyer

Handling medical records in a divorce is tricky. Federal laws like HIPAA, along with Texas rules on physician-patient privilege and mental health history, all come together in the courtroom. A mistake can harm your case, risk your privacy, or result in penalties.

A seasoned Texas divorce lawyer knows:

  • When medical records are truly relevant
  • How to request them (or oppose them) correctly
  • The best arguments to make before a judge
  • How to use Motions to Quash or protective orders

They can also advise you if making certain claims about your health might open up your medical records for review. It is crucial to discuss your legal options with an attorney to understand the impact of your medical history on your case. Because it’s complex, seek legal help to stay informed and protected.

 Infographic titled "Can Medical Records Be Subpoenaed in a Divorce?" explaining when medical records may be subpoenaed in a Texas divorce, covering HIPAA privacy, relevance in family law cases, and legal procedures.
This infographic covers HIPAA privacy, the relevance of health information in family law cases, and the legal steps.

Frequently Asked Questions

When are medical records relevant in a divorce case?

Medical records are relevant when they directly impact the issues before the court. For example:

1. Parenting ability in custody disputes (e.g. mental health or substance abuse concerns).
2. Claims of inability to work for spousal support.
3. Allegations of domestic violence may involve medical documentation of injuries.
4. Annulment or reimbursement claims tied to health conditions or use of marital funds.

How do I object to a subpoena for my medical records in a divorce?

You can object by filing a Motion to Quash, challenging the subpoena’s validity, scope, or relevance and emphasizing the confidentiality and legal protections. When one party objects to the disclosure of medical records during legal proceedings, such as a divorce or custody case, they can file an opposition to protect their privacy. Grounds for objection include:

1. Irrelevance to the case.
2. Overbroad or invasive requests.
3. Violation of privileges (especially for mental health or substance abuse records). Courts may conduct an in-camera (private) review and can issue protective orders to limit disclosure.

Are mental health records treated differently in Texas divorce cases?

Yes, mental health records are treated more strictly during a trial:

Governed by Texas Health and Safety Code Chapter 611.
Usually require a specific court order for disclosure, not just a subpoena.
Courts often review these records privately and may limit access to attorneys or seal the records.
The requesting party must show the records are directly relevant to a contested issue.

It is crucial to treat these records with the utmost respect, adhering to legal standards like HIPAA, to ensure confidentiality and protect clients from potential stigma, especially in legal proceedings such as divorce or paternity cases.

Can substance abuse treatment records be subpoenaed in a divorce?

Strict federal regulations (42 CFR Part 2) protect substance abuse records and typically require one of the following for disclosure:
Explicit patient consent or a specific court order.
Courts must find good cause and ensure disclosure serves the public interest.

Obtaining these records involves a legal process where courts must determine the necessity and relevance of the information to the case, ensuring that the disclosure is justified and in the public interest.

How do I subpoena medical records in Texas?


1. An attorney issues a subpoena duces tecum to the healthcare provider to obtain the necessary medical records.
2. The subpoena must specify the documents requested and their relevance.
3. The individual whose records are being sought must be notified and has the right to object before release.
4. Courts may require additional safeguards, such as protective orders, to ensure privacy.

Can I get my spouse’s medical records during our divorce?

You can access if you can show the records are relevant to the divorce and get a subpoena or court order. As the moving party, you must file a motion outlining the necessity of the records. If the court deems the records discoverable, it can release them to the moving party while considering the relevant laws and protections surrounding medical privacy. Unauthorized access or misuse can have legal consequences. The court will determine if the records are relevant to issues like custody or support. Consult with a family law attorney.

How do I protect my medical privacy during divorce?


1. Call your attorney immediately if you get notice of a subpoena.
2. Follow the correct course of action by filing a Motion to Quash or negotiating limited disclosure.
3. Request that sensitive information be marked “Attorneys’ Eyes Only” or redacted.
4. Ask for a protective order to restrict who can see the records and how they are handled.
5. Don’t put your health at issue unless necessary, as this can waive certain privileges.

What is a protective order for medical records in divorce?

A protective order limits the disclosure and use of sensitive medical information obtained during divorce proceedings. Medical records may be released under specific conditions. It can:

1. Restrict access to certain individuals (e.g. attorneys or the court).
2. Specify how the information is handled, stored or destroyed.
3. Violating a protective order can result in legal penalties1.

Do HIPAA apply in divorce cases?

Yes, but with exceptions. HIPAA sets federal standards for health information privacy but allows disclosure in response to a valid subpoena or court order if proper procedures are followed:

1. Providers must notify the patient of the subpoena.
2. The court order or subpoena must meet specific criteria.

If you have any questions or need legal assistance regarding HIPAA and divorce cases, please contact us. Our team is here to help you navigate these complex issues and provide the support you need.

What medical conditions most often impact child custody?

1. Untreated severe mental illness.
2. Active substance abuse disorders.* Physical conditions that severely impact a parent’s ability to care for a child.
3. Courts look at how the condition affects parenting capacity and the child’s safety, not just the diagnosis itself. Stable, well-managed conditions rarely impact custody.

Can therapy or counseling records be used in a divorce or custody case?

Therapy and counseling records may be used, but:

1. Courts require a higher standard of relevance.
2. Judges often review these records privately before deciding what, if any, information is admissible.
3. Therapy records related to domestic violence or abuse allegations are especially sensitive and protected.

Why do I need a Texas divorce attorney for medical records?

A Texas divorce attorney can:

1. Determine if medical records are relevant.
2. Properly issue or defend against subpoenas.
3. Argue about relevance and privilege to a judge.
4. Negotiate protective orders or confidentiality agreements to protect sensitive information.

Conclusion

Returning to our main question. The short answer is yes, even with strong privacy rules like HIPAA in place. The key is relevance to the legal issues in a Texas divorce, such as child custody, child support, or spousal support.

Physician-patient privilege, special protections for mental illness and substance abuse, and strict rules about releasing therapy records all help shield your private information. But courts can order disclosure if a subpoena is properly issued and the records matter to the case. If you think a request is unfair, you have the right to object and seek a judge’s review.

Because these rules are complex and personal, it’s wise to consult an experienced Texas divorce lawyer who can guide you through the process and help keep your rights intact. Medical records can heavily influence a case’s outcome, so expert legal advice is crucial. Our experienced divorce attorneys in Texas are ready to help you navigate sensitive issues like these with care and clarity. During a consultation, we can review your situation, answer your legal questions, and discuss how we can support you. Call us at (888) 584-9614 or contact us online to start planning your next steps with confidence.

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Categories: Divorce Tagged: Divorce, divorce attorney texas, Divorce Law, medical and divorce

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If you need to speak with an attorney at Warren & Migliaccio, L.L.P.  submit our contact form below or call (888) 584-9614 to schedule a free consultation.

Christopher Migliaccio, attorney in Dallas, Texas
About the Author

Christopher Migliaccio is an attorney and a Co-Founding Partner of the law firm of Warren & Migliaccio, L.L.P. Chris is a native of New Jersey and landed in Texas after graduating from the Thomas M. Cooley School of Law in Lansing, Michigan. Chris has experience with personal bankruptcy, estate planning, family law, divorce, child custody, debt relief lawsuits, and personal injury. If you have any questions about this article, you can contact Chris by clicking here.

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