Copies of Your Medical Record
As a patient of Pagosa Springs Medical Center, you can request access to your medical records. Copies of medical records may be released to other third parties with written authorization of the patient or patient representative. Charges may apply.
To obtain your medical record from Pagosa Springs Medical Center, you can request a copy of your records by completing the form below. Please provide the completed form, along with photo identification in person to the Health Information Management (HIM) department, located on the PSMC campus. You can also mail or fax the form with a copy of your photo ID.
If you are requesting that PSMC sends medical records to another medical provider, please include their name, address, phone number, and fax number to help expedite the information.
Please note: When completing your form, please provide a range of dates or the single date of service being requested, such as visit with my provider on 8/1/2021, or all records related to my knee surgery in May 2021.
You can also view your health information online via the patient portal. Please note that the patient portal does not allow access to a patient’s complete medical record.
You may sign up for free access to your secure health information through PSMC’s Health-e patient portal. To sign up, email Informatics.Dept@psmedicalcenter.org. You will receive an email with a link to accept your invitation and set up your account. Once you are signed up, you may access your health information through the Health-e link.
Health Information Management (HIM)
Hours: Monday-Friday, 8:00 a.m. to 4:30 p.m.
Pagosa Springs Medical Center
95 S. Pagosa Blvd.
Pagosa Springs, CO 81147