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)
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. You can download the Intermountain Health's MyChart app from the patient portal page.
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.