Medical RecordsNumber: 719-846-8021
Fax Number: 719-846-8025
Requests for information specific to your medical records are processed using the form below. Please follow the link where you can download and/or print the form as needed.
Authorization for Use & Disclosure of PHI
PHI Authorization Forms may be submitted via email to email@example.com. For specific questions regarding releasing your records or the records of family members, please contact our Health Information Management department at (719) 846-8021.