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  • Colorado Brain And Spine Institute Request For Release Of Medical Information

Get Colorado Brain And Spine Institute Request For Release Of Medical Information

P: 3037838844 F: 3037832002 www.cbsi.md cbsi cbsi.mdColorado Brain and Spine Institute, LLC REQUEST FOR RELEASE OF MEDICAL INFORMATION THIS FORM MUST BE FILLED OUT COMPLETELYPATIENT INFORMATION.

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The Colorado Medical Board recommends “retaining all patient records for a minimum of 7 years after the last date of treatment, or 7 years after the patient reaches age 18 – whichever occurs later.” However, some types of records, like x-rays, must be retained for ten years.

You, the patient, or your authorized representative with authority over your health care matters, will have to sign a written request for your medical records. Your hospital or doctor's office likely has a form, like this one. Please note you may be charged a small amount per page or per request.

Certification of medical records, if requested: $10.00 fee.

The HIPAA Privacy rules define the rights of individuals, including members of Health First Colorado (Colorado's Medicaid Program) and all Medical assistance program beneficiaries and the obligations of providers and others regarding the individual's Protected Health Information (PHI).

Generally, your health care provider must give you a copy in the format that you request if they are able to do so. Your provider may charge you a fee to get a copy of your record.

When we go to a doctor's office, we expect our personal medical information to be kept safe and confidential. This is a legal requirement in Colorado, as in all other states.

Certification of medical records, if requested: $10.00 fee.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232