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Poudre valley hospital medical records

Poudre valley hospital medical records 2026

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40 votes

The document is an authorization form for the disclosure of protected health information from various hospitals and medical facilities. It includes patient details, purpose of the request, types of medical records to be released, and consent for specialized information. The form outlines processing times, fees for copies, and legal disclaimers regarding confidentiality and revocation rights.

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Click ‘Get Form’ to open the poudre valley hospital medical records in the editor.
Begin by entering your Medical Record Number (MRN) and CSN/FIN number at the top of the form.
Fill in your personal details, including your name, any former names, birth date, address, city/state, zip code, and phone number.
Select the purpose of your request from the provided options such as 'Continuation of Care' or 'Personal'.
Indicate who you authorize to receive your information by filling in their name/facility and contact details.
Specify the date range for the services you are requesting by entering the start and end dates.
Choose your preferred method of release if you are receiving the information yourself (email, mail, etc.).
Review and select any specialized information you consent to disclose by checking the appropriate boxes.
Sign and date the form at the bottom to complete your authorization.

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Versions	Form popularity	Fillable & printable
2022	4.6 Satisfied (33 Votes)
2019	4.8 Satisfied (56 Votes)
2018	4.6 Satisfied (40 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you get hospital records from 20 years ago?

Since many healthcare systems do not hold records for more than a decade, your medical information from 20+ years ago is likely to be incomplete.

How far back to hospitals keep medical records?

California. Hospitals in California must keep adult patient records for seven years after the last discharge date.

Can you get medical records from 20 years ago?

Accessing old medical records can be difficult, especially when youre looking for documents that are 20-30 years old. Medical facilities have varied retention policies, and some may not keep records beyond a certain number of years.

Can anyone see my hospital records?

Only you or your personal representative has the right to access your records. A health care provider or health plan may send copies of your records to another provider or health plan only as needed for treatment or payment or with your permission.

How long are medical records kept in Colorado?

Medical records shall be preserved as original records, in a manner determined by the hospital, for ten (10) years after the most recent patient care usage of the medical record.

poudre valley hospital records

UCHealth medical records phone number UCHealth medical records fax Number UC Health medical records Address University of Colorado Hospital medical records University Hospital medical records phone number Poudre valley hospital phone number UC West Chester Medical records Phone Number Directions to Poudre Valley Hospital

Do hospitals throw away medical records?

Hospitals are usually required to keep surgical records for at least 6 years from the last service date. This requirement complies with federal and state laws as well as HIPAA regulations. However, some state laws may extend the retention period over 6 years as well.

How long do hospitals keep medical records in Colorado?

Hospitals: Medical records shall be preserved as original records, in a manner determined by the hospital, for the period of minority plus ten (10) years (i.e., until the patient is age 28) or ten (10) years after the most recent patient usage, whichever is later.