Pikes Peak Regional Hospital maintains medical records for each patient treated at the hospital. To request your medical records, please visit our Health Information Management Department between the hours of 8:00 a.m. – 5:00 p.m., Monday through Friday, or call 719-686-5721.
Prior to receiving copies of records or authorizing records to be disclosed, you will be asked to complete the appropriate form and provide proof of your identification with a valid, government issued photo ID.
The appropriate form, along with a copy of your proof of identification, may be faxed to 719-686-5823.
The following form should be used for requests to disclose medical records to a third party.
NOTE: Records needed for continuing care purposes do not require the completion of any of the above referenced forms, but rather will be sent directly to your provider.