Requesting Your Medical Records
Patients: Release of Health Information
Colorado Springs Urology has partnered with Sharecare to fulfill your requests for records, whether it’s for:
- Personal use
- FMLA
- Disability
- Other reasons
We are committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
If you are a provider or third party requesting records, please click here.
If you need help with any of the links of forms on this page, please do not contact Colorado Springs Urology. Instead, for faster service, please contact:
Phone: (858) 244-1811
To request your records online
Online is the fastest way to receive a copy of your records.
If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a photo file of your government-issued ID.
To request your records via paper-based form
If you are unable to complete the electronic form above, download and complete the paper form below. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online form above.
Ways to submit your form
FAX: 866-650-0595
Disability/ FMLA Form Requests
This is for patients, disability companies, or employers to submit their FMLA or Disability form to Sharecare for completion.
Once you have submitted your form, Sharecare will contact you within 48 hours to collect payment for processing. We are happy to accept and submit the forms on the patient’s behalf however for more prompt and complete service we suggest submit your forms online directly through Sharecare.
For questions or to ask about the status of your request, please call Sharecare at (866) 273-4039.
Turnaround time for records
Records are usually available within 10 days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID.
Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship.
