To do so, you must sign a release form that is available in the Medical Records Department located on the ground floor of St. Mary's Regional Medical Center. Check out "Health 360". St. Mary's Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS), a King of Prussia, Pennsylvania-based company that is one of the largest healthcare management companies in the nation.. St. Mary's Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS), a King of Prussia, Pennsylvania-based company that is one of the largest healthcare management companies in the nation.. St. Mary’s Medical Center is committed to protecting your personal health information. You may download this form in English or this forma en Español, Fill out the form and fax it back to 562.491.7965 with a copy of your valid driver's license or government-issued identification to the Medical Records Department, located on the 2nd floor of the main hospital. For a copy of a birth certificate, please contact the Colorado Department of Public Health and Environment at 303-692-2200. For additional questions, please call 970-298-2510 or email SCLHS-SMG-ROI@sclhealth.org. 3941. All rights reserved. St. Mary's Medical Center Attn: Health Information Management 2635 North 7th Street Grand Junction, Colorado 81501. After we receive your completed form, we can release your medical records. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Hours of Operation: M-F; 8 a.m. to 5 p.m. We are happy to help you request copies of health records. You must provide appropriate legal documentation with the request form if the patient is unable to provide their own signature. How much information: Pertinent records may include a discharge summary, history and physical, test results, an emergency department report, and any consultations; all records include all vitals and large amounts of routine documentation. If the patient has no guardian or personal representative, the individual with medical power of attorney may sign for the patient. To expedite your request, we assembled these tips to help you properly complete your form. Improving your health and wellness is one of the primary focuses here at St. Mary's. The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. Hours of Operation: You may download this form in English or this formaen Español Fill out the form and fax it back to 562.491.7965 with a copy of your valid driver's license or government-issued identification to the Medical Records Department, located on the 2nd floor of the main hospital. There may be a charge for creating a copy of your records. In order to obtain copies of your medical records, please complete and return the Authorization for Release/Exchange of Information form for the applicable hospital.

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