Medical Record Release


If you would like to have your records released to you or sent to another physician, please print and fill out the records release form in the link below. This form can also be used to request that another physician’s office send medical records to our office.

If you have any questions regarding this form please feel free to call our office. Completed records releases can be mailed to us, or faxed to (303)706-0904.

Medical Records Release Form (pdf)