Get secure online record access to most records through MyChart.

• Don't have an account? Create an online patient account for a safe and simple way to access information from your electronic health record (EHR). Once you have an account, you can also download or share records with others through MyChart. Some records may not be available online, but you can request copies of those additional records through your MyChart account at any time. MyChart is also available both via mobile app (iPhone, Android) and web browser. Records can be provided in an electronic format, if preferred.
• Granting friends and family access to your MyChart medical record. Individuals 18 years of age or older may grant friends and family proxy access to their MyChart account at any time by logging in and granting access directly through the portal. Parents or legal guardians of minor children up to age 11 may request proxy access to their child’s MyChart account by completing the MyChart Proxy Form (English) (Español).
• Request a proxy: Parents or legal guardians of minor children from ages 12 - 17 may request proxy access to their child’s MyChart account by completing the MyChart Proxy Form (English) (Español), or the child may create their own MyChart account and grant access directly to their parent. All medical information that is made available in MyChart will also be made available to your proxy. You control who can have proxy access to your MyChart account by granting and revoking access at any time from within your account.Option 2: Request Copies of Your Medical Records

If you've been a patient in one of our hospitals or Intermountain Health Medical Group physician practices, you may request access to your medical record by downloading a copy of the Patient Request to Access Medical Records Form (also available in Spanish), complete it and mail, email or fax it to our Centralized Release of Information Department or your local Health Information Management department to request your medical record.

Copies of medical records may be released to a third party (someone other than the patient) upon receipt of written authorization of the patient or guardian. To authorize the release of your records, complete the form below, then you may submit the form by email, fax or mail. Charges may apply.

• Patient Authorization to Disclose Protected Health Information (English)
• Patient Authorization to Disclose Protected Health Information (Spanish)

Request that copies of your medical information be sent to you using a preferred method.

Submitting Your Request Form

Send a copy of your completed the patient access or authorization form via:

• Mail: Centralized Release of Information, 15755 E 32nd Ave., Ste 1A, Aurora, CO 80011
• Mail: to your local hospital. See addresses below. 
• Fax: Centralized Release of Information at 303-467-8966 or to your local hospital (see fax numbers below).
• Email: Peaks_croi@imail.org

 

Fees

Charges may apply for medical record copies or CD/DVD radiology images released.

Medical record printed pages:

• Patient: no charge.
• Non-patient: additional fees apply as allowed by the state. Please note there are NO charges for copies sent directly to another healthcare provider for continuing care.
• Another healthcare provider: no charge

Radiology images:

• First copy of radiology images is free to the patient. Please note there are NO charges for copies sent directly to another healthcare provider for continuing care. Please note that CD/DVDs can contain more than one exam. Copies of CD/DVDs incur a charge of $10 for third party requestors.
• Radiology images may also be emailed to the patient free of charge.

Please call one of our Health Information Management office locations and schedule an appointment.

Good Samaritan Medical Center (Lafayette, CO)

• 200 Exempla Circle; Lafayette CO 80026
• Phone: 303-689-5100
• Fax: 303-689-5143
• Hours by appointment only

Holy Rosary Healthcare (Miles City, MT)

• 2600 Wilson St.; Miles City, MT 59301
• Phone: 406-233-2654
• Fax: 406-233-2669
• Hours by appointment only.

Lutheran Medical Center (Wheat Ridge, CO)

• 8300 West 38th Avenue; Wheat Ridge,CO 80033
• Phone: 303-425-2064
• Fax: 303-425-8563
• Hours: 8 a.m. - 4:30 p.m.

Platte Valley Medical Center (Brighton, CO)

• 1600 Prairie Center Parkway; Brighton, CO 80601
• Phone: 303-498-1679
• Fax: 303-498-1677
• Hours: 8:30 p.m. - 4 p.m.

Saint Joseph Hospital (Denver, CO)

• 1375 E. 19th Avenue; Denver, CO 80218
• Phone: 303-812-3550
• Fax: 303-812-4224
• Hours: 8 a.m. - 4 p.m.

St. James Healthcare (Butte, MT)

• 400 S. Clark; Butte, MT 59701
• Phone: 406-723-2462
• Fax: 406-723-2463
• Hours: 8:30 a.m. - 4 p.m.

St. Mary's Medical Center (Grand Junction, CO)

• 2635 North 7th Street; Grand Junction, CO 81501
• Phone: 970-298-2510
• Fax: 970-298-7511
• Hours: 8:30 a.m. - 4:30 p.m.

St. Vincent Healthcare (Billings, MT)

• 1233 North 30th Street; Billings, MT 59101
• Phone: 406-237-3250
• Fax: 406-237-3297 or 406-237-3280
• Hours: 9 a.m. - 1 p.m.