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To Request Medical Records

Please read carefully to prevent delays in receiving your medical records. 1. Fill out the medical release form below 2. Take a picture of you driver's license/ID. 3. Mail or Email it back to us with a copy of your request form and driver's license/ID. A. STANDARD RECORDS - FAXED: This is your fastest option. The default for standard records are the first/initial evaluation and the 3 most recent visits. We will fax these records to your new provider or therapist. Please email a standard request with your form and driver's license to: CoPsychRecords@gmail.com. There is NO charge for a standard request. B. FULL SET RECORDS - MAILED: If requesting complete records, we will put it on a flash drive for $10.00 for postage and a flash drive. A request for a FULL set of records can only be mailed back to you. Please include the $10.00 in your mailed request with your request form and copy of driver's license to: 700 N Colorado Blvd, Box 422 Denver, CO 80206. Note: We will not email your medical records due to HIPAA regulations. If you are uncomfortable emailing your request form and driver's license, please mail it to us. Please note that records can take time so please be patient as all staff has been released. Please allow 30 days to process.
Medical Release Form

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