Text Size: A- | A | A+

Medical Records

Number: 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 medicalrecords@msrhc.org. For specific questions regarding releasing your records or the records of family members, please contact our Health Information Management department at (719) 846-8021.