Medical Records
How to Request Your Records
To request your records, download the Release of Information Form and submit it by email or fax:
Phone: 888-816-1804
Fax: 719-466-2004
Email: medicalrecords@fccsprings.com
Please do not submit duplicate requests.
Frequently Asked Questions
You do not have to pay for records that we send directly to you or to another medical professional.
If you ask us to send your records to someone who is not a medical professional, such as an attorney, we may bill that person.
We will process your request in accordance with state and federal law or court order. To avoid delays, please do not submit duplicate requests.
Colorado/Florida – up to 30 days
Texas – within 15 business days
Arizona – within 7 business days for direct patient requests; up to 10 business days for all others
Tennessee – within 10 business days
The following people have the legal right to sign for release of patient health information:
- The patient
- Parent or legal guardian of a patient up to age 17
- Guardian appointed by a court*
- Person named as a “health care agent” on a power of attorney for health care form*
- Person named as “attorney-in-fact” in a declaration for mental health treatment*
- Personal representative of a deceased patient, such as an executor or next of kin*
*Documentation must be provided.
We can provide records in PDF* format through the following electronic methods:
- Family Care Center patient portal
- Secure email
- E-Fax
*You will need Adobe Acrobat to read the files. You can download this software online at no cost.
- Fill out all information.
- Write clearly.
- Include information about where you were treated and dates of treatment. A date range is OK.
- Be specific about what information you want. Use the checkboxes to select the types of information you want.
- Be sure to sign and date the form.
- To request records to be sent to yourself or another health care provider, you can provide an electronic signature.
- To request records to be sent to someone else, you will need to provide a written signature.
- You may also need to follow other requirements.