From the HealthIT.Gov website:
This infographic, titled Your Health Information, Your Rights, was created by the Office of the National Coordinator for Health Information Technology and the U. S. Department of Health and Human Services Office for Civil Rights. The infographic includes facts pertaining to an individual's right to accessing their medical records, a demonstration of how to obtain medical records and tips for protecting health information.
To learn more about your rights, visit OCR's Rights to Access Health Information under HIPAA Page
Or you can download a PDF of the infographic below.