Please see below for information related to obtaining, amending and returning
your medical records from our Health Information Management (HIM) department.
HIM Satellite Office (Foothills Hospital)
4747 Arapahoe Ave.
Boulder, CO 80303
Phone: 303-415-7760
Fax: 720-854-7763
Email: him@bch.org
Monday-Friday, 8 a.m. to 4:30 p.m.
*Closed from 2 p.m. to 3 p.m. daily
HIM Department (Main Dept.)
4990 Pearl East Circle, Suite 100
Boulder, CO 80303
Phone: 303-415-7760
Fax: 720-854-7763
Email: him@bch.org
Monday-Friday, 8 a.m. to 4:30 p.m.
To request a copy of your medical record, please print and complete a Request
of Medical Information form.
(English) or (Spanish)
*Please note there may be a charge for copies of medical records. This
charge is determined by the Colorado Department of Public Health.
To request a privacy restriction to a previously authorized release, please
print and complete a
Request for Privacy Restriction.
To request an amendment to your medical record, please print and complete a
Request for Amendment/Correction of Protected Health Information form.
Amendment Frequently Asked Questions (FAQs) can be located
here.
You may return your form(s) in person or by mail to either address listed
above. You may also return your form by:
- Fax to 720-854-7763
- E-mail to him@bch.org
What is the cost for amending medical records?
There is no charge for requesting an amendment to your medical record
When will I receive a response to my request?
Your request will be reviewed and approved or denied within 60 days of
receipt of your amendment request. If the request involves a mental health
diagnosis, it will be responded to within 30 days. If the request takes
longer than the allotted time, an extension letter will be sent to you
within an appropriate time frame explaining the reason for the extension.
How can I expedite the process?
Providing a copy of the document(s) in question, strike through the information
you do not agree with, and writing in what you believe to be the correct
information is very helpful and can expedite the process. Additionally,
using one form for each requested amendment is helpful in expediting the
process when you are requesting multiple amendments. To view a Visio workflow
of the amendment process,
click here.
What happens if my request is approved?
The approved form and the amended document(s) are sent to you via U.S. mail.
What does "approved with modification" mean?
The author of the document decided to amend part of your request, but
not all. The provider will indicate the reason for the partial approval.
What are the reasons my request might be denied?
- BCH did not create the information and you must return to the source to
amend their document
- The information is complete and accurate as reviewed by the author.
- The information is compiled in anticipation of or for use in any civil,
criminal or administrative action or proceeding.
- You did not provide enough information to complete the request.
- The request is regarding billing information and needs to be redirected
back to the billing department.
If denied, can I re-request the amendment?
Yes. Once the request has been denied, you may appeal the request and
submit additional documentation or a statement of disagreement for additional
consideration.
How do I get my records permanently removed from BCH?
The information contained within the BCH Health record cannot be permanently
removed in its entirety. You can request that specific information is
amended or removed, but the entire record cannot be removed
What if I want the amended document released to other persons or parties?
To have your amended documentation sent to other persons or parties, fill
out a BCH Medical Records Release form. (English form or
Spanish form)
If you have additional questions that are not addressed no this page, please
contact us by calling 303-415-7760 between 8 a.m. and 5 p.m, Monday through Friday.
Walk-in Hours: 8 a.m. – 5 p.m., Monday through Friday at either location.
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