Medical Records Request
How to request your CRC Medical Record
Download and complete the form via the links or stop by any of our offices to request a form to complete.
Request for Medical Records 5.2026.pdf English version
Request-for-Access-To-PHI-Spanish-7.1.24.pdf Spanish version
Submit the request form by:
- Emailing Medical Records: CRCMedRecords@communityreachcenter.org
- Faxing our Medical Records Department: 303-287-2477
- Dropping off the form at any of our locations with our front desk receptionist
Important information
- Guardianship documentation must be provided when applicable
- A valid Release of Information (ROI) must be on file if records are requested to be sent to a third party
Requests for legal proceedings or criminal-justice monitoring require an additional specific criminal-justice release.
CRC will approve or deny a properly completed request within 30 days, with an extension permitted when necessary and with notification to the requester.
To ask a question or follow up on a request please call us at (303) 853-3510