Hospitals: Pennsylvania requires medical records be kept a minimum of seven (7) years following the discharge of a patient. If the patient is a minor, records shall be kept until the age of majority, and then for seven (7) years “or as long as the records of adult patients are maintained.” Essentially, hospitals must retain patient records for minors until the patient reaches age 25, or seven (7) years after a patient turns 18 years old. 

Physicians: Pennsylvania requires private practices to retain adult patient records for a minimum of seven (7) years from the date of the last medical service. The medical records for a minor patient must be retained until one (1) year after the minor patient reaches majority, even if that means the physician retains the records for a period of more than seven (7) years.

28 PA. CODE § 115.23
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