To initiate a request for medical records from Vail Valley Medical Center, Shaw Regional Cancer Center, Howard Head Sports Medicine and any of our Urgent Care facilities, simply download, print, complete and sign the following form:
To initiate a request for records from the Cardiology Institute, Vail Institute for Aesthetic & Reconstructive Surgery, Mountain Surgical Associates, or Vail Valley OB/GYN, simply download, print, complete and sign the following form:
Instructions: Please complete ALL portions of this authorization and bring a printed copy with you to Medical Records at the address below. To expedite the process, you may email a scanned copy along with a copy of the patient's valid photo ID to firstname.lastname@example.org OR fax the completed form and a copy of the patient's valid photo ID to Medical Records at (970) 470-6641. Please specify if you would like to pick up the copies in person or have us mail them to you. Unfortunately, we do not fax copies of patient medical records.
Note: Requests for medical records are processed in the order they are received. Medical records will be delivered within 10 to 14 days upon receipt of request.