Intermountain Health

Records, fax and other contacts

Find other published document channels. Confirm the department and purpose before sending any records.

fax other

Medical records request - Utah and Idaho

Official page read
Phone385-533-0440

Questions related to the release of records for care received in Utah and Idaho.

Fax

385-215-7047

Completed medical-record request and disclosure-authorization forms for care received in Utah and Idaho.

Published email

MedRecReq@r1rcm.com

Completed medical-record request and disclosure-authorization forms for care received in Utah and Idaho.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Utah · Idaho

Mailing address
Intermountain Health Release of Information PO Box 571069 Murray, UT 84157

Mailing completed medical-record request and disclosure-authorization forms for care received in Utah and Idaho.

The current medical-records page publishes the Centralized Release of Information question phone and the fax/mail instructions for Utah and Idaho. Its currently linked patient-request and PHI-disclosure forms confirm the fax and submission email. Select the route according to where care was received; this is records administration, not clinical advice or a general referral fax. No departmental hours or individual walk-in address were established.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax other

Centralized ROI - CO, MT, WY, NV

Official page read
Phone303-467-4046

Questions related to the release of records for care received in Colorado, Montana, Wyoming and Nevada.

Fax

303-467-8966

Completed medical-record request and disclosure-authorization forms for care received in Colorado, Montana, Wyoming and Nevada.

Published email

peaks_croi@imail.org

Completed medical-record request and disclosure-authorization forms for care received in Colorado, Montana, Wyoming and Nevada.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Colorado · Montana · Wyoming · Nevada

Mailing address
Intermountain Health Release of Information 500 Eldorado Blvd., Suite 4300 Broomfield, CO 80021

Mailing completed medical-record request and disclosure-authorization forms for care received in Colorado, Montana, Wyoming and Nevada.

The current medical-records page publishes the Centralized Release of Information question phone and the fax/mail instructions for Colorado, Montana, Wyoming and Nevada. Its currently linked patient-request and PHI-disclosure forms confirm the fax and submission email. Select the route according to where care was received; this is records administration, not clinical advice or a general referral fax. No departmental hours or individual walk-in address were established. The webpage specifies Suite 4300 while both current forms specify Building 4 at the same street/city/ZIP. These address versions are preserved without assuming equivalence; follow the relevant current instructions or confirm the mailing detail.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Find other published document channels. Confirm the department and purpose before sending any records.

Have ready in your secure workspace

  • Recipient department and exact document request
  • Required release or authorization
  • Secure return contact and existing request reference

Questions to resolve

  • Is this the correct destination for this document type?
  • Is there a secure portal or required form?
  • How is receipt confirmed?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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