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Medical Records

Please see below for information related to obtaining, amending and returning your medical records from our Health Information Management (HIM) department.

Our Locations

HIM Department (Main Dept.)
4990 Pearl East Circle, Suite 100
Boulder, CO 80301
Phone: 303-415-7760
Fax: 720-854-7763
Monday-Friday, 8 a.m. to 4:30 p.m.

Requesting Your Medical Record

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.

Requesting a Privacy Restriction

To request a privacy restriction to a previously authorized release, please print and complete a Request for Privacy Restriction.

Requesting an Amendment to Your Medical Record

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.

Returning Forms

You may return your form(s) in person or by mail to either address listed above. You may also return your form by:

Medical Record FAQs

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)

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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 4:30 p.m, Monday through Friday. Walk-in Hours: 8 a.m. – 4:30 p.m., Monday through Friday at either location.

Important Information

Boulder Community Health is following current guidelines from the Centers for Disease Control and Prevention (CDC) that call for patients and visitors to continue wearing masks at Foothills Hospital and all BCH patient-care facilities.

People 12 and older are eligible for the COVID-19 vaccine. For updated Vaccine Clinic hours and general vaccine info, please visit our vaccine page.