How to request a copy of your medical record
Questions related to release of records may be directed to Centralized Release of Information at 303-467-4046 or toll free at 855-821-0591 or you can visit your local Intermountain Health hospital or clinic.
Option 1: Intermountain Health App (MyChart)
The Intermountain Health's MyChart provides access to a limited set of your health record at no cost to you. Those records include history and physicals, discharge summaries, lab results, image reports, ED notes and progress notes.
Option 2: Printable form
Download and print the form:
- English - Patient Request to Access Medical Records Form (PDF)
- Spanish - Patient Request to Access Medical Records Form (PDF)
Return your completed form via one of the following options:
Mail: Intermountain Health, Release of Information
500 Eldorado Blvd., Suite 4300
Broomfield, CO 80021
Fax: (303) 467-8966
Email: Peaks_cROI@imail.org
Walk in: Medical Records Department Directory
Charges may apply for medical record copies or CD/DVD radiology images released. Medical records requests will be filled within 30 days of your request.