Email Collection Form
To add or update the email address you have on file with Boulder Community
Health, you must submit an
Email Collection Form to the Medical Records Department. Click here to download and print a form.
You can submit your completed form in the following ways:
Complete the form and mail to:
Medical Records Department
Boulder Community Health
P.O. Box 9047
Boulder, CO 80301-9019
Effective Monday, June 25, 2018 Medical Records will move to:
4990 Pearl East Circle, Suite 100, Boulder.
Complete this form and bring it to the Medical Records Department, located
on the Foothills Medical Campus in the
Tebo Family Medical Building, located at 4715 Arapahoe, Suite G30, Boulder.
Complete this form and fax it to 720-854-7763.