Medical Records Department

Getting a Copy of Your Medical Record
In order to obtain copies of your medical record, you must submit a HIPAA compliant release form to the Medical Records Department. This may be done in different ways:

1. Request a form by phone. Call the Medical Records Department at 303-415-7760 and request that a form be mailed to you.

2. Request a form in person. To obtain a form in person, please visit our Medical Records Department, located on the BCH Foothills Campus in the Tebo Family Medical Pavilion at 4747 Arapahoe, Suite G30, Boulder.

3. Print a form online

To print a PDF of the form in English, click here
To print a PDF of the form in Spanish, click here.

Mail or fax your completed form to:

    Medical Records Department
    Boulder Community Health
    PO Box 9047
    Boulder, Colorado  80301-9019
    FAX: 720-854-7763

Please note that there is a charge for personal copies of medical records. This charge is determined by the Colorado Department of Public Health.    

Making a Change to Your Medical Record
For your privacy, any updates or corrections to your medical record must be requested in person with a photo ID. Changes cannot be made over the phone. The Medical Records Department is located on the BCH Foothills Campus in the Tebo Family Medical Pavilion at 4747 Arapahoe, Suite G30, Boulder.

If you have questions, please call the Medical Records Department at 303-415-7760.

 

 

 

 

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