Request Your Child's Records


 

A Records Release must be completed to transfer medical records. 

The following is for the transfer of medical records due to a change in PCP, or if you are requesting records for yourself. If you are requesting other documentation (school, daycare, sports or health form or vaccine records, please do so through your patient portal. Patient Resources > Patient Portal)

HIPAA requirements state that a singed authorization by a legal guardian must be completed prior to sending or obtaining any client records. Please allow up to 7 days for your request, also please CAREFULLY select all boxes and provide complete information. We will send records by fax unless requesting them for yourself in which case we use a password protected encrypted email.

Download the medical records release form HERE

When complete email your form to IPHCadmin@myupdox.com

What we offer

Services

Location
Integrative Pediatric Health Care, LLC
3540 S. Poplar St., Suite 202
Denver, CO 80237
Phone: 720-442-3615
Fax: 720-870-3726
Office Hours

Get in touch

720-442-3615