Request Your Child's Records


 

A Records Release form must be completed to transfer medical records. Click here to submit the needed form.

  • Transfer of medical records
    • Following the submission of the release form, you will receive an electronic official Release of Information.
      • Records will be faxed to the office listed on the release.
      • If you are requesting records are sent directly to you, which will be done via an encrypted email and password protected PDF.
  • Health appraisals and/or vaccine records
    • Please note that we CANNOT sign a health form if your child is overdue on wellness visits.
    • The correspondence of health forms and vaccine records must be done through our HIPAA compliant patient portal, My Health Record.
      • If you need portal access, please document so on your release form.
  • Other
    • Please document the specifics you are requesting within your release form.

If you have any additional questions or concerns, please document them within your release form.

Please allow 3-5 business days to process all requests.

-IPHC Staff

What we offer

Services

Location
Integrative Pediatric Health Care
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