Here in Nova Scotia, Canada, my wife was charged $25.00 when she changed doctors within our town, and even within the same building. Her records were carried, literally, across a hall from one office to another. And she is an employee of our health care facility. I figure you got a bargain having to pay the $25.00 to have them sent from Quebec all the way across the pond to Hawaii. It's a good thing the fee doesn't increase with distance.